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
Phone: (757) 396-6347
Fax: (757) 215-0177
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487020962 | NPPES |
| Virginia | Other | C05149 | MEDICARE GROUP PTAN |
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