Individual
REBECCA BOTTICELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1992 MEDICAL AVE, HARRISONBURG, VA 22801-3436
(540) 437-1296
(540) 437-1298
Mailing address
1168 NELSON DR, HARRISONBURG, VA 22801-3504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101054345
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195041
ANTHEM
VA
01
—
201381302
TAX IDENTIFICATION
VA
01
—
426034
SOUTHERN HEALTH
VA
01
—
7011186
CIGNA
VA
Enumeration date
09/26/2005
Last updated
07/08/2007
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