Vincent Botta, A.P.N. Valid NPI

Individual provider · Family Nurse Practitioner · Oswego, IL

NPI

1992121156

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

277001993 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2014-03-12

Last updated

2023-09-07