Individual
VALERIE BOTSCHELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11103 CATHAGE RD STE 101, BERLIN, MD 21811-2114
(410) 912-6021
Mailing address
11103 CATHAGE RD STE 101, BERLIN, MD 21811-2114
(410) 912-6021
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C0006637
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0006637
MEDICAL
MD
Enumeration date
10/12/2017
Last updated
10/24/2024
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