Individual
ILHAM BOTHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
75 SPRINGFIELD RD, SUITE 1, WESTFIELD, MA 01085-1832
(413) 562-5173
(413) 562-1716
Mailing address
75 SPRINGFIELD RD, SUITE 1, WESTFIELD, MA 01085-1832
(413) 562-5173
(413) 562-1716
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
163675
MA
Other
Enumeration date
05/11/2006
Last updated
05/06/2014
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