Botsford, Shelly

Botsford, Shelly is an individual health care provider with primary practice located at 1000 E Rosser Ave , Bismarck ND 58501-4414. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Botsford, Shelly can be contacted via phone (701) 530-6000.

Contact Information

Primary practice address
1000 E Rosser Ave Bismarck ND 58501-4414
Phone: (701) 530-6000
Fax: (701) 530-6430
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R25534 North Dakota

Profile Details

NPI number 1336193721
LBN Legal business name Botsford, Shelly
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Mar 24th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336193721 NPPES
North Dakota MEDICAID 19582

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