Person Information

Name:SUSAN M OTT

Address Information

Address(city state zipcode):Ellwood City PA16117

License Information

Type:Certified Registered Nurse PractitionerSecondary Type:Primary CareNumber:UP000608A
Profession:NursingStatus:ActiveDate This Status:
Issue Date:3/31/1982Expires:4/30/2017Last Renewed:4/26/2015

Prerequisite Information

Licensee:OTT, SUSAN MRelationship:Prescriptive Authority
Type:Prescriptive AuthorityNumber:001765Status:Active
Date of Association:Date of Expiration:

Licensee:OTT, SUSAN MRelationship:Self Automatic
Type:Registered NurseNumber:RN210666LStatus:Active
Date of Association:Date of Expiration:

Comments


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