Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA BOTTER, RN
Active Sole ProprietorTARA BOTTER, RN is a Registered Nurse healthcare provider located in RONKONKOMA, New York. NPI 1467907279 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · RONKONKOMA, NY
Registration Details
- NPI Number
- 1467907279
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 22, 2016 (9.9840432487885 yrs)
- Last Updated
- Aug 22, 2016
- License
-
554993 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
75 PARK AVERONKONKOMA, NY, 117791727Browse NY providers · Browse ZIP 11779
- Phone
- 6316055522
- Primary Specialty
-
Registered Nurse
163W00000X
Other Registered Nurse Providers in RONKONKOMA, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. LYNN MARIE KLINGENBERGER | RN | 1609060029 |
| JENNIFER GRZYMALA | R.N. | 1861673154 |
| CYNTHIA LACEY | RN | 1922289677 |
| SUSAN VON GERICHTEN | RN | 1720260359 |
| RAYMOND J. PADULA | R.N. | 1598926057 |
| MRS. CRISTICITA MIRANDA VILLONGCO | RN, MSN | 1710148796 |
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.