| Mrs Heidi J Otto, APRN, IBCLC, CNP | |
|
1900 Sunrise Dr, Saint Peter, MN 56082-5376 | |
| (507) 934-8480 | |
| Not Available |
| Full Name | Mrs Heidi J Otto |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1900 Sunrise Dr, Saint Peter, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649471178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WL0100X | Registered Nurse - Lactation Consultant | R113572-5 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | F1014544 (Minnesota) | Primary |
| Entity Name | Ridgeview Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528364429 PECOS PAC ID: 9234041997 Enrollment ID: O20031111000183 |
| Entity Name | Sibley Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740240225 PECOS PAC ID: 3870722499 Enrollment ID: O20140418000315 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Heidi J Otto, APRN, IBCLC, CNP 1900 Sunrise Dr, Saint Peter, MN 56082-5376 Ph: (507) 934-8480 | Mrs Heidi J Otto, APRN, IBCLC, CNP 1900 Sunrise Dr, Saint Peter, MN 56082-5376 Ph: (507) 934-8480 |
Carly Behnke, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Freeman Dr, Saint Peter, MN 56082 Phone: 507-985-2832 | |
Anthony Shabrack, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Freeman Dr, Saint Peter, MN 56082 Phone: 507-985-2035 | |
Mrs. Alexis May Pavey, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Sunrise Dr Ste 200, Saint Peter, MN 56082 Phone: 507-931-2110 | |
Sheila E Anderson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Sunrise Dr Ste 200, Saint Peter, MN 56082 Phone: 507-931-2110 | |
Jacqueline Rose Cooper, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 Klein St, Saint Peter, MN 56082 Phone: 507-933-5001 Fax: 507-934-7043 | |
Malinda Teresa Henderson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Freeman Dr, Saint Peter, MN 56082 Phone: 507-931-7125 Fax: 507-931-7126 | |
Mr. John P. Gemlo, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Freeman Dr, Saint Peter, MN 56082 Phone: 507-985-2357 Fax: 651-431-7657 |