Botelho, Nancy M

Botelho, Nancy M is an individual health care provider with primary practice located at 101 Dudley St , Providence RI 02905-2401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Botelho, Nancy M can be contacted via phone (401) 453-7953.

Contact Information

Primary practice address
101 Dudley St Providence RI 02905-2401
Phone: (401) 453-7953
Fax: (401) 453-7790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN00245 Rhode Island

Profile Details

NPI number 1346214293
LBN Legal business name Botelho, Nancy M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Jul 9th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346214293 NPPES
Rhode Island Other 412985 BLUE CHIP
Rhode Island Other 709004159 BLUE CHIP
Rhode Island Other 050483739 BLUE CHIP
Rhode Island Other 29978-3 BLUE CHIP
Rhode Island MEDICAID 9003486 BLUE CHIP

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