Individual
NICOLE MARIE BOTHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 LOUISIANA AVE STE 1, LIBBY, MT 59923-2159
(406) 283-6800
Mailing address
308 LOUISIANA AVE STE 1, LIBBY, MT 59923-2159
(406) 283-6800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NUR-APRN-APP-144934
MT
363LF0000X
Family Nurse Practitioner
Primary
145254
MT
Other
Enumeration date
06/05/2019
Last updated
03/17/2026
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