Otter, Elizabeth Ann
Otter, Elizabeth Ann is an individual health care provider with primary practice located at 3290 N Wellness Dr Ste 240 , Holland MI 49424-7261. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Otter, Elizabeth Ann can be contacted via phone (616) 395-9379.Contact Information
Primary practice address
3290 N Wellness Dr Ste 240
Holland MI 49424-7261
Phone: (616) 395-9379
Fax: (616) 820-1457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA0000001490 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601004658 | Michigan |
Profile Details
| NPI number | 1639108293 |
|---|---|
| LBN Legal business name | Otter, Elizabeth Ann |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Sep 13th, 2023 - about 3 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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