Otoo, Cecilia

Otoo, Cecilia is an individual health care provider with primary practice located at 355 Crawford St Suite 300, Portsmouth VA 23704-2816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Otoo, Cecilia can be contacted via phone (757) 396-6347.

Contact Information

Primary practice address
355 Crawford St Suite 300 Portsmouth VA 23704-2816
Fax: (757) 215-0177
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024172429 Virginia

Profile Details

NPI number 1487020962
LBN Legal business name Otoo, Cecilia
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2015
Last updated Aug 19th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487020962 NPPES
Virginia Other C05149 MEDICARE GROUP PTAN

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