Botts Diabetes & Endocrinology
Nurse Practitioner, Family in Lebanon, TN. Organization (NPI-2).
NPI number1477044717
StatusActive
Last updated in NPPESMar 19, 2024
Details
- NPI
- 1477044717
- Entity type
- Organization (NPI-2)
- Legal business name
- Botts Diabetes & Endocrinology
- Organization subpart
- No
- Enumeration date
- May 22, 2018
- Certification date
- Mar 19, 2024
- Last updated
- Mar 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
1420 W Baddour Pkwy Ste 200Lebanon, TN 37087-1510
Phone 615-444-4126
Mailing address
1420 W Baddour Pkwy Ste 200Lebanon, TN 37087-1510
Phone 615-444-4126
Authorized official
Dara W Botts
Owner
6154444126
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Other Family Nurse Practitioner providers in Lebanon, TN
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All 77 Family Nurse Practitioner providers in Lebanon · All 1,094 providers in Lebanon
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