IndividualActive
Michele Otto, RN
NPI 1003515420 · Registered Nurse · Marion, IL
Michele Otto, RN is a Registered Nurse provider in Marion, IL (NPI 1003515420).
Provider details
- NPI number
- 1003515420
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 041242849 (IL)
Practice location
2401 W Main St
Marion, IL 62959-1188
Phone: (618) 993-4168
Street-level locationGet directions
Mailing address
2401 W Main St
Marion, IL 62959-1188
Registry dates
- Enumerated
- 2023-02-24
- Last updated
- 2023-02-24
- Certified
- 2023-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.