IndividualActive
Alice Ottenstroer
NPI 1144073669 · Nurse's Aide · Maple Grove, MN
Provider details
- NPI number
- 1144073669
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- MN027816001445 (MN)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
12443 90th Ave N
Maple Grove, MN 55369-6540
Phone: (612) 283-3409
Approximate (ZIP-level) locationGet directions
Mailing address
12443 90th Ave N
Maple Grove, MN 55369-6540
Registry dates
- Enumerated
- 2024-04-08
- Last updated
- 2024-04-08
- Certified
- 2024-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.