Individual provider · Type 1 NPI

Mary E. Otten, RN, CNP

Pediatric Nurse Practitioner · Cincinnati, OH

NPI number 1720106800 Active

Practice location

3333 Burnet Ave., Ml 2001
Cincinnati, OH 45229-3039

Call (513) 636-4408 Map

Fax (513) 636-7337

Mailing address

3333 Burnet Ave, Ml 2001
Cincinnati, OH 45229-3026

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner	363L00000X	COA.07338-NP (OH)
Pediatric Nurse Practitioner Primary	363LP0200X	APRN.CNP.07338 (OH)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1720106800

Mary E. Otten, RN, CNP's National Provider Identifier is 1720106800, issued on Mar 27, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Cincinnati, OH. The record was last updated on Jan 11, 2017.