person
Mrs. Jacquelyn Anne Botticelli, NP
Adult Health Nurse Practitioner in Buffalo, New York
NPI 1356349740

Jacquelyn Anne Botticelli is an Adult Health Nurse Practitioner based in Depew, NY and is specialized in Adult Health. Jacquelyn Anne Botticelli practices in Buffalo, NY and has the professional credentials of NP. The NPI Number for Jacquelyn Anne Botticelli is 1356349740 and holds a License No. 30-304311 (New York).

The current practice location address for Jacquelyn Anne Botticelli is 60 Innsbruck Dr, Buffalo, NY and can be reached out via phone at 716-668-7051 and via fax at 716-669-7069.

Location: 60 Innsbruck Dr, Buffalo, NY, 14043
person
Provider Profile Details
NPI Number
1356349740
Provider Name
Jacquelyn Anne Botticelli
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
60 Innsbruck Dr, Buffalo, NY, 14043
Phone Number
716-668-7051
Fax Number
716-669-7069
Provider Enumeration Date
07/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9515444 01 NY INDEPENDENT HEALTH
03061112 05 NY
institution
Provider Business Practice Location Address Details
Address
60 Innsbruck Dr
City
State
Zip
14227-2735
Phone Number
716-668-7051
Fax Number
716-669-7069
person
Provider Business Mailing Address Details
Address
60 Innsbruck Dr
City
State
Zip
14227-2735
Phone Number
716-668-7051
Fax Number
716-669-7069
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
30-304311 (New York)
Definition
Definition to come...
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