Individual
ELIZABETH BOTHFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
345 W WASHINGTON AVE, MADISON, WI 53703-2996
(608) 417-8300
(608) 417-8301
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2139-033
WI
Other
Enumeration date
05/15/2007
Last updated
10/19/2015
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