MS. LINDA LAVERNE OTTLEY NP NPI 1629085576

NPI Information

NPI: 1629085576
Provider Name: MS. LINDA LAVERNE OTTLEY, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA
ZIP 92161
Phone: (858) 552-8585
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MS. Linda Laverne Ottley, NP is an adult health nurse practitioner in San Diego, CA. MS. Linda Laverne Ottley, NP NPI is 1629085576. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA
ZIP 92161-002
Phone: (858) 552-8585

The NPI 1629085576 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 6/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	526101	CALIFORNIA	Yes
2	363LF0000X	Nurse Practitioner	Family	526101	CALIFORNIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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