Dara W Botts is a Family in Lebanon, Tennessee. Dara W Botts practices all healthcare services and medical treatments related to Family. The NPI Number for Dara W Botts is 1982826004. The last update date is 2018-12-20.
Dara W Botts's current location address is 115 Winwood Dr Ste 205, Lebanon, Tennessee. You can contact this provider via phone number 6154444126 and fax number 8557852890. The mailing address for Dara W Botts is 115 Winwood Dr Ste 205, Lebanon, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dara W Botts |
|---|---|
| Address | 115 Winwood Dr Ste 205, Lebanon, Tennessee |
| Phone Number | 6154444126 |
| Fax Number | 8557852890 |
| Sole Proprietor | Y |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1982826004 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2018-12-20 |
Provider Mailing Address Detail
| Address | 115 Winwood Dr Ste 205 |
|---|---|
| City | Lebanon |
| State | Tennessee (TN) |
| Post Code | 370871399 |
| Phone Number | 6154444126 |
| Fax Number | 8557852890 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 57268 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Q012339 | TN | -- |
Post Comment/ Review Below
What is the Dara W Botts's unique identification number?
The Dara W Botts has been assigned the NPI (National Provider Identifier) Number 1982826004 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Dara W Botts's physical address?
The Dara W Botts is physically located at 115 Winwood Dr Ste 205, in the city of Lebanon, TN, with the postal code 370871399.
What is the area of specialization for Dara W Botts, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dara W Botts is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
On what date did the Dara W Botts receive the assignment of its 1982826004 from the Centers for Medicare & Medicaid Services?
The Dara W Botts was issued its 1982826004 by the Centers for Medicare & Medicaid Services on 2007-05-02.
When was the Dara W Botts's information last updated?
The Dara W Botts's information was last updated on 2018-12-20.
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