Individual
MRS. REBECCA ANN BOETTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
530 NEW WAVERLY PL, SUITE 200, CARY, NC 27511-7414
(919) 859-5955
(919) 859-5659
Mailing address
PO BOX 18563, RALEIGH, NC 27619-8563
(919) 782-1806
(919) 782-1669
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
900200
NC
Other
Enumeration date
02/14/2007
Last updated
01/29/2009
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