Melissa R Ottenbacher in Port Orchard - Pediatrics
Melissa R Ottenbacher - NPI 1922099696
Melissa R Ottenbacher is a Pediatrics in Port Orchard, Washington. Melissa R Ottenbacher practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Melissa R Ottenbacher is 1922099696. The last update date is 2023-03-07.
Melissa R Ottenbacher's current location address is 450 S Kitsap Blvd, Port Orchard, Washington. You can contact this provider via phone number 3608950216 and fax number 3608957919. The mailing address for Melissa R Ottenbacher is 450 S Kitsap Blvd, Port Orchard, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa R Ottenbacher |
|---|---|
| Address | 450 S Kitsap Blvd, Port Orchard, Washington |
| Phone Number | 3608950216 |
| Fax Number | 3608957919 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1922099696 |
|---|---|
| Provider Enumeration Date | 2005-11-02 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 450 S Kitsap Blvd |
|---|---|
| City | Port Orchard |
| State | Washington (WA) |
| Post Code | 983663773 |
| Phone Number | 3608950216 |
| Fax Number | 3608957919 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 364Sp0200X |
| Licence No | RN00167987 |
|
Definition: An advanced practice registered nurse expert in specialized nursing care for infants, children, and adolescents. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9662412 | WA | -- | |
| RN00167987 | WA | RN | |
| AP60103856 | WA | ARNP LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Melissa R Ottenbacher?
The Melissa R Ottenbacher has been issued the NPI (National Provider Identifier) 1922099696 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Melissa R Ottenbacher is geographically located?
The Melissa R Ottenbacher is physically situated at the following location: 450 S Kitsap Blvd, Port Orchard, WA, 983663773.
What is Melissa R Ottenbacher's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Melissa R Ottenbacher is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 364Sp0200X.
When was the Melissa R Ottenbacher's 1922099696 issued?
The Melissa R Ottenbacher's 1922099696 was issued on 2005-11-02.
As of what date were the details pertaining to Melissa R Ottenbacher last refreshed?
The information related to the Melissa R Ottenbacher, including its address, specialty, and other relevant details, was last updated on 2023-03-07.