Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE MARIE BOTHMAN
Active Sole ProprietorNurse Practitioner · LIBBY, MT
Registration Details
- NPI Number
- 1437717360
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 5, 2019 (6.8790467856482 yrs)
- Last Updated
- Jun 11, 2019
- License
-
NUR-APRN-APP-144934 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
308 LOUISIANA AVE STE 1LIBBY, MT, 599232159Browse MT providers · Browse ZIP 59923
- Phone
- 4062836800
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in LIBBY, MT
| Name | Credential | NPI |
|---|---|---|
| NATASHA HAINES | NP | 1336457571 |
| DR. RILEY MACKENZIE BLACK | DNP | 1538875935 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.