Ethel Otor

Nurse Practitioner · Decatur, GA

Individual Active NPI

NPI number 1609371475

Practice location

1670 Clairmont Rd
Decatur, GA 30033-4004
Phone
(404) 321-6111

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NPI record

NPI
1609371475
Entity type
Individual (Type 1)
Enumeration date
March 26, 2018
Last updated
March 26, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X RN155157 GA

About Ethel Otor

Ethel Otor is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1670 Clairmont Rd, Decatur, GA 30033-4004. The NPI number 1609371475 was assigned on March 26, 2018 and the record was last updated on March 26, 2018.

Ethel Otor lists a license in the registry: #RN155157 (GA) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ethel Otor?

The NPI number is 1609371475.

What is the phone number of Ethel Otor?

The phone number listed for the practice location is (404) 321-6111.

Where is Ethel Otor located?

1670 Clairmont Rd, Decatur, GA 30033-4004.

What is the taxonomy code for Ethel Otor?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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