Botsford, Tina M L
Botsford, Tina M L is an individual health care provider with primary practice located at 3811 Spring St , Mount Pleasant WI 53405-1667. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Botsford, Tina M L can be contacted via phone (262) 498-1773.Contact Information
Primary practice address
3811 Spring St
Mount Pleasant WI 53405-1667
Phone: (262) 498-1773
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 969333 | Wisconsin |
Profile Details
| NPI number | 1255974358 |
|---|---|
| LBN Legal business name | Botsford, Tina M L |
| Credentials | MSN, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2019 |
| Last updated | Oct 21st, 2019 - about 5 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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