Individual
MARCELLE BOTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
10 E 31ST ST, KEARNEY, NE 68847-2908
(308) 865-7100
Mailing address
1008 W 48TH ST, KEARNEY, NE 68845-1243
(308) 991-7494
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112804
NE
Other
Enumeration date
06/14/2019
Last updated
10/23/2023
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