Individual provider · Type 1 NPI

Bomina Otto, APRN

Acute Care Nurse Practitioner · Urbana, IL

NPI number 1922833615 Active

Practice location

611 W Park St
Urbana, IL 61801-2501

Mailing address

611 W Park, Fapc
Urbana, IL 61802

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X209030394 (IL)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1922833615

Bomina Otto, APRN's National Provider Identifier is 1922833615, issued on Sep 3, 2024. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Urbana, IL. The record was last updated on Dec 27, 2024.