Doctor Name: | MELISSA K BOTELHO |
NPI Number: | 1003215633 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.N.P. |
License Number: | RN271965 |
Business Practice Address: | 225 Field St New Bedford, MA - 027402134 |
Business Phone Number: | 5089992981 |
Business Fax Number: | 5089103363 |
Mailing Address: | 225 Field St, NEW BEDFORD |
State: | MA |
Postal Code: | 027402134 |
Phone Number: | 5089992981 |
Fax Number: | 5089103363 |
NPI Enumeration Date: | 08/20/2014 |
NPI Last Update Date: | 08/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | RN271965 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |