Individual
NOELLE M BOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4755 OGLETOWN-STANTON RD, ROOM L805, NEWARK, DE 19718-0001
(302) 733-1512
(302) 733-1890
Mailing address
PO BOX 30170, WILMINGTON, DE 19805-7170
(302) 623-7049
(302) 623-7397
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0000143
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LG-0000143
LICENSE
DE
Enumeration date
11/17/2006
Last updated
07/08/2007
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