Individual provider · NPI-1

Melissa Ann Botard, FNP-C

Nurse Practitioner, Family · League City, TX

NPI number1346859444
StatusActive
Last updated in NPPESJul 24, 2020

Details

NPI
1346859444
Entity type
Individual (NPI-1)
Name
Mrs. Melissa Ann Botard
Credential
FNP-C
Sex
Female
Sole proprietor
No
Enumeration date
Jul 24, 2020
Certification date
Jul 24, 2020
Last updated
Jul 24, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAP145583TXYes

Practice location

2118 Dublin Dr
League City, TX 77573-4963

Phone 281-723-0163

Mailing address

2118 Dublin Dr
League City, TX 77573-4963

Phone 281-723-0163

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner, Family providers in League City, TX