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Individual

DIANE L BOTTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
777 BANNOCK ST, MC 7782, DENVER, CO 80204-4507
(303) 436-6000
Mailing address
777 BANNOCK ST, MC 7782, DENVER, CO 80204-4507

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1230
CO
363LC1500X
Community Health Nurse Practitioner
Primary
104815
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
25688235
CO
Enumeration date
07/14/2006
Last updated
12/28/2018
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