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Individual

STACEY BOTTEX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5201 GREAT AMERICA PKWY STE 320, SANTA CLARA, CA 95054-1140
(781) 223-8286
Mailing address
5201 GREAT AMERICA PKWY STE 320, SANTA CLARA, CA 95054-1140

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
UNKNOWN
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95012224
CA

Other

Enumeration date
06/10/2019
Last updated
03/23/2026
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