Nicole Otero, PA

NPI #1104204320 in Gilbert, Arizona

Provider Information

NPI Number: 1104204320
Entity Type: Individual
Name: Nicole Otero, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: May 7, 2015
Last Updated: Sep 14, 2021

Practice Location

Address: 1900 N HIGLEY RD
City: Gilbert
State: Arizona
ZIP Code: 85234-1604
Phone: (480) 543-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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