Botts, Dara W
Botts, Dara W is an sole proprietor health care provider with primary practice located at 1420 W Baddour Pkwy Ste 200 , Lebanon TN 37087-1510. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Botts, Dara W can be contacted via phone (154) 444-4126.Contact Information
Primary practice address
1420 W Baddour Pkwy Ste 200
Lebanon TN 37087-1510
Phone: (154) 444-4126
Fax: (855) 785-2890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 57268 | Tennessee |
Profile Details
| NPI number | 1982826004 |
|---|---|
| LBN Legal business name | Botts, Dara W |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2007 |
| Last updated | Mar 19th, 2024 - about 8 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982826004 | NPPES |
| Tennessee | MEDICAID | Q012339 |
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