Basic Information
Provider Information
NPI: 1710298435
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OTTENO
FirstName: HELEN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 850 HARVARD WAY
Address2:  
City: RENO
State: NV
PostalCode: 895022055
CountryCode: US
TelephoneNumber: 7759825262
FaxNumber: 7759825496
Practice Location
Address1: 901 E 2ND ST STE 307
Address2:  
City: RENO
State: NV
PostalCode: 895021178
CountryCode: US
TelephoneNumber: 7759825000
FaxNumber: 7759823901
Other Information
ProviderEnumerationDate: 06/28/2010
LastUpdateDate: 02/05/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/05/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VG0400X35128002OHN Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
207VX0000X35128002OHN Allopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
207V00000X19298NVY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


Home