ALICIA HOLLY OTTENWELLER

INDIANAPOLIS, IN
NPI1164942538
Former NameALICIA ADAM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71007384A)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IN  28226461A)
Enumeration Date2017-06-26
Last Update Date2023-08-15
Business Address
ALICIA HOLLY OTTENWELLER FNP-C
426 S ALABAMA ST STE 100
INDIANAPOLIS, IN 46225-3301
Phone number: 317-528-2489
Mailing Address
ALICIA HOLLY OTTENWELLER FNP-C
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800