Doctor Name: | MS. SHEILA ANN BOTTI |
NPI Number: | 1184725871 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN CS |
License Number: | 106900 |
Business Practice Address: | 450 Main St Sturbridge, MA - 01566 |
Business Phone Number: | 5083477755 |
Business Fax Number: | |
Mailing Address: | 44 Cedar St, STURBRIDGE |
State: | MA |
Postal Code: | 01566 |
Phone Number: | 5083475638 |
Fax Number: | 5083477376 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | 106900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |