| Doctor Name: | MS. ELIZABETH ANN BOTTS |
| NPI Number: | 1023404555 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | RN399351 |
| Business Practice Address: | 1775 Delco Park Dr Kettering, OH - 454201398 |
| Business Phone Number: | 9372992339 |
| Business Fax Number: | |
| Mailing Address: | 1775 Delco Park Dr, KETTERING |
| State: | OH |
| Postal Code: | 454201398 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/10/2015 |
| NPI Last Update Date: | 04/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | RN399351 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |