Individual
KRISTI ANN BOTELHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 793-9166
(401) 444-2788
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN02090
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2301218
CNP
MA
Enumeration date
03/19/2019
Last updated
07/12/2019
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