# JEANETTE BALDONADO BOTWIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1518340751
- **Gender:** F
- **Credential:** RN, MSN, CPNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0200X | Pediatric Registered Nurse | 6894281 | NY | — |
| 363LP0200X | Pediatric Nurse Practitioner | 95004133 | CA | Yes |

## Other

- **Enumeration date:** 07/07/2015
- **Last updated:** 10/15/2024