| Doctor Name: | SUSAN DELEAN-BOTKIN |
| NPI Number: | 1043306335 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | R126198 |
| Business Practice Address: | 8579 Commerce Dr Ste 106 Easton, MD - 216017420 |
| Business Phone Number: | 4108190404 |
| Business Fax Number: | 4108190751 |
| Mailing Address: | 202 3rd St, OXFORD |
| State: | MD |
| Postal Code: | 216541251 |
| Phone Number: | 4102265126 |
| Fax Number: | |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R126198 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |