Individual
KATELYN BOTTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(732) 956-4488
Mailing address
195 CAROLYN AVE, COLONIA, NJ 07067-1733
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP034706
PA
Other
Enumeration date
11/19/2025
Last updated
12/04/2025
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