Individual
LAURA BOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
25 CROSSROADS DR, STE 10, OWINGS MILLS, MD 21117-5473
(410) 207-9541
Mailing address
25 CROSSROADS DR, STE 10, OWINGS MILLS, MD 21117-5473
(410) 415-5105
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R191895
MD
Other
Enumeration date
08/27/2019
Last updated
04/10/2024
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