Individual
MRS. CAROL E. BOETTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
8491 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-3360
(772) 446-4883
(772) 446-4875
Mailing address
8491 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-3360
(772) 446-4883
(772) 446-4875
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
ARNP2844672
FL
363L00000X
Nurse Practitioner
Primary
ARNP2844672
FL
Other
Enumeration date
09/20/2013
Last updated
12/08/2016
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