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Individual

MARGARET SULLIVAN BOTTCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
4650 W SUNSET BLVD, MS # 54, LOS ANGELES, CA 90027-6062
(323) 669-2121
(323) 660-7128
Mailing address
6430 W SUNSET BLVD, SUITE 600, LOS ANGELES, CA 90028-7901
(323) 669-2337
(323) 644-8488

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NPF6984
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP0069840
CA
Enumeration date
09/30/2006
Last updated
05/28/2014
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