Individual
MRS. KIMBERLY AINE BOTTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-7252
(203) 732-1539
Mailing address
67 MAPLE AVE, DERBY, CT 06418-1328
(203) 732-1330
(203) 732-1332
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
4667
CT
Other
Enumeration date
05/22/2011
Last updated
01/13/2021
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