Female

Sara A. Otterness APRN-BC

Full Name

Sara Ann Otterness APRN-BC

NPI Number

1558370247

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/05/2006

Specialties

(Taxonomies)

Code

363LA2200X
163W00000X

Primary Taxonomy

No
No

Licenses

State

Minnesota

License Number

R 116602-4

Contact
Information

Purpose

Mailing
Location

Address

18967 ENGLEWOOD WAY
ONE VETERANS DRIVE

City

Farmington
Minneapolis

State

MN
MN

Postal Code

55024-8140
55417

Country

US
US

Telephone Number

(651) 460-8329
(612) 725-2000

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address