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Individual

VIRGINIA MARGARET BOTHWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA, DNAP

Contact information

Practice address
5151 REED RD, SUITE 105, COLUMBUS, OH 43220-2553
(614) 457-2306
(614) 884-0776
Mailing address
5151 REED RD STE 105, COLUMBUS, OH 43220-2553
(614) 457-2306
(614) 884-0776

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209035121
IL
367500000X
Certified Registered Nurse Anesthetist
AC001005
MD
367500000X
Certified Registered Nurse Anesthetist
APRN9445785
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
COA 14479-NA
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0085436
OH
01
P01209409
MEDICARE RAILROAD
OH
Enumeration date
02/16/2012
Last updated
04/09/2026
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