Individual
EDGAR ALBINO BOTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
6730 N WEST AVE, FRESNO, CA 93711-4301
(559) 439-3000
(559) 439-3004
Mailing address
6730 N WEST AVE, FRESNO, CA 93711-4301
(559) 439-3000
(559) 439-3004
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP95014495
CA
363LF0000X
Family Nurse Practitioner
Primary
NP95014495
CA
Other
Enumeration date
05/01/2020
Last updated
08/02/2023
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