Provider Demographics
NPI:1346920006
Name:OTT, HAYLEY C (FNP)
Entity Type:Individual
Prefix:MS
First Name:HAYLEY
Middle Name:C
Last Name:OTT
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:PO BOX 60352
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63160-0352
Mailing Address - Country:US
Mailing Address - Phone:314-996-8000
Mailing Address - Fax:314-362-9851
Practice Address - Street 1:12634 OLIVE BLVD
Practice Address - Street 2:DIV IM INFECTIOUS DISEASE
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6337
Practice Address - Country:US
Practice Address - Phone:314-996-8000
Practice Address - Fax:314-362-9851
Is Sole Proprietor?:No
Enumeration Date:2023-07-18
Last Update Date:2024-05-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2023014676363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily