Individual
HAYLIE BOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4000
Mailing address
18372 MANITOBA LN, HUNTINGTON BEACH, CA 92648-1423
(714) 916-1757
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
RI
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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