Individual provider · Type 1 NPI
Kirby Elizabeth Otto, APNP
Nurse Practitioner · Shawano, WI
Practice location
100 County Road B
Shawano, WI 54166-7072
Fax (920) 225-1414
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Other practice locations
- 744 S Webster Ave, Green Bay, WI 54301-3505 · (920) 445-7226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 5477-33 (WI) |
| Registered Nurse | 163W00000X | 156249-30 (WI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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Other nurse practitioner providers in Shawano
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- Rita Jerabek, NPNurse Practitioner Shawano, WI NPI 1437194255
- Amy Jane Davids, FNP-CNurse Practitioner Shawano, WI NPI 1457193104
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About NPI 1649603044
Kirby Elizabeth Otto, APNP's National Provider Identifier is 1649603044, issued on Aug 21, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Shawano, WI. The record was last updated on Feb 17, 2020.