Nicole Marie Bothman

NPI #1437717360 in Libby, Montana

Provider Information

NPI Number
1437717360
Entity Type
Individual
Name
Nicole Marie Bothman
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner
Enumeration Date
Jun 5, 2019
Last Updated
Jun 11, 2019

Practice Location

Address
308 LOUISIANA AVE STE 1
City
Libby
State
Montana
ZIP Code
59923-2159
Phone
(406) 283-6800

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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