Individual
MRS. NISSA ELIZABETH BOTTOMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
580 MOHAWK DRIVE, BOULDER, CO 80302
(303) 554-5000
Mailing address
580 MOHAWK DRIVE, BOULDER, CO 80302
(303) 554-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
162514
CO
Other
Enumeration date
12/04/2009
Last updated
12/04/2009
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