Individual
ELIZABETH SUZANNE BOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4211 STATE ROUTE 44, ROOTSTOWN, OH 44272-9733
(234) 867-7550
(234) 867-7545
Mailing address
4211 STATE ROUTE 44 STE 150, ROOTSTOWN, OH 44272-9733
(234) 857-7550
(234) 867-7545
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN.344221
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.025156
OH
Other
Enumeration date
07/05/2019
Last updated
03/15/2022
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