Individual
KELLY ELIZABETH BOTTGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-9557
Mailing address
6 NASHUA ST APT 1, SOMERVILLE, MA 02145-2516
(518) 421-4395
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2021051971
MA
Other
Enumeration date
08/06/2021
Last updated
12/09/2024
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