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Individual

KAREN BOTTOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-0660
(760) 924-4044
(760) 924-4125
Mailing address
PO BOX 660, 85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-0660
(760) 924-4044
(760) 924-4125

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
NMW196
CA
282NC0060X
Critical Access Hospital
NMW196
CA
282NR1301X
Rural Acute Care Hospital
NMW196
CA
363L00000X
Nurse Practitioner
NMW196
CA

Other

Enumeration date
01/26/2007
Last updated
03/11/2013
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