Nicole Ruth Otton, CHA-T

NPI #1114694890 in Nome, Alaska

Provider Information

NPI Number: 1114694890
Entity Type: Individual
Name: Nicole Ruth Otton, CHA-T
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Credential: CHA-T
Enumeration Date: Aug 30, 2021
Last Updated: Aug 30, 2021

Practice Location

Address: 1000 GREG KRUSHEK AVE
City: Nome
State: Alaska
ZIP Code: 99762-9976
Phone: (907) 443-3311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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