Individual provider · Type 1 NPI
Lydiah Otachi, NURSE PRACTITIONER
Primary Care Nurse Practitioner · Eagan, MN
NPI number
1689428070
Active
Practice location
1380 Corporate Center Curv
Eagan, MN 55121-1200
Mailing address
PO Box 17370
St. Paul, MN 55117-0370
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 11498 (MN) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 11498 (MN) |
| Gerontology Nurse Practitioner | 363LG0600X | 11498 (MN) |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
Other primary care nurse practitioner providers in Eagan
About NPI 1689428070
Lydiah Otachi, NURSE PRACTITIONER's National Provider Identifier is 1689428070, issued on Apr 12, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Eagan, MN. The record was last updated on Sep 21, 2026.