Individual
SARA MICHELE BOTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NNP-BC
Contact information
Practice address
5430 FREDERICKSBURG RD STE 508, SAN ANTONIO, TX 78229-3561
(210) 541-8281
Mailing address
5430 FREDERICKSBURG RD STE 508, SAN ANTONIO, TX 78229-3561
(210) 541-8281
(210) 541-9123
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
717662
TX
Other
Enumeration date
01/11/2019
Last updated
06/06/2019
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