Individual
KOREAN ANN BOTTS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
22089 US HIGHWAY 19 N, CLEARWATER, FL 33765-2364
(727) 287-2784
(727) 669-9260
Mailing address
232 MONTEREY ST, NORTH FORT MYERS, FL 33903-2817
(941) 995-9122
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1838862
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y008Q
BCBS
FL
Enumeration date
05/08/2006
Last updated
07/08/2007
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