Individual
NANCY M BOTELHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 453-7953
(401) 453-7790
Mailing address
PO BOX 202230, PROVIDENCE, RI 02905-3105
(401) 421-8800
(401) 273-6510
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN00245
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050483739
GREAT WEST HEALTH CARE
RI
01
—
29978-3
BCBS OF RI
RI
01
—
412985
BLUE CHIP
RI
01
—
709004159
MEDICARE GROUP
RI
05
—
9003486
—
RI
Enumeration date
02/16/2006
Last updated
04/17/2026
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