IndividualActive
Bomina Otto, APRN
NPI 1922833615 · Acute Care Nurse Practitioner · Urbana, IL
Provider details
- NPI number
- 1922833615
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 209030394 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
611 W Park St
Urbana, IL 61801-2501
Phone: (217) 383-3311
Approximate (ZIP-level) locationGet directions
Mailing address
611 W Park
Urbana, IL 61802
Registry dates
- Enumerated
- 2024-09-03
- Last updated
- 2024-12-27
- Certified
- 2024-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.