Individual
MRS. IRENE BOTTOMLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
522 W RIVERSIDE AVE STE N, SPOKANE, WA 99201-0580
(956) 592-2910
Mailing address
26494 RABB RD, LA FERIA, TX 78559-4642
(956) 592-2910
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61389707
WA
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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