Botkin, Robert Tucker

Botkin, Robert Tucker is an individual health care provider with primary practice located at 1075 E Park Blvd , Boise ID 83712-7722. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Botkin, Robert Tucker can be contacted via phone (208) 381-5970.

Contact Information

Primary practice address
1075 E Park Blvd Boise ID 83712-7722
Phone: (208) 381-5970
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 73537 Idaho

Profile Details

NPI number 1720715998
LBN Legal business name Botkin, Robert Tucker
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2022
Last updated Oct 14th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers