DR BOTTKOL APRN DNP LLC NPI 1447847983

NPI Information

  • NPI: 1447847983
  • Provider Name: DR BOTTKOL APRN DNP LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 406 LASIESTA DRIVE
    MEXICO BEACH, FL
    ZIP 32456
  • Phone: (850) 381-1866

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NPI Details

DR BOTTKOL APRN DNP LLC is a family nurse practitioner in Mexico Beach, FL. DR BOTTKOL APRN DNP LLC NPI is 1447847983. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

406 LASIESTA DRIVE
MEXICO BEACH, FL
ZIP 32456
Phone: (850) 381-1866

The provider's authorized official is Christine Bottkol .
The authorized official title is Owner and has the following contact phone number (850) 381-1866.

The enumeration date for this NPI number is 12/30/2020 and was last updated on 12/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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