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Gina Botello, FNP
Psychiatric/Mental Health Nurse Practitioner in San Luis, Arizona
NPI 1770917429

Gina Botello is a Psychiatric/Mental Health Nurse Practitioner based in Yuma, AZ and is specialized in Psychiatric/Mental Health. Gina Botello practices in San Luis, AZ and has the professional credentials of FNP. The NPI Number for Gina Botello is 1770917429 and holds a License No. AP5180 (Arizona).

The current practice location address for Gina Botello is 1896 E Babbit Ln, San Luis, AZ and can be reached out via phone at 928-722-6112 and via fax at 928-722-6113.

Location: 1896 E Babbit Ln, San Luis, AZ, 85364-7170
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Provider Profile Details
NPI Number
1770917429
Provider Name
Gina Botello
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1896 E Babbit Ln, San Luis, AZ, 85364-7170
Phone Number
928-722-6112
Fax Number
928-722-6113
Provider Enumeration Date
08/29/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z176616 01 AZ MEDICARE PTAN
004882 05 AZ
institution
Provider Business Practice Location Address Details
Address
1896 E Babbit Ln
City
State
Zip
85349
Phone Number
928-722-6112
Fax Number
928-722-6113
person
Provider Business Mailing Address Details
Address
1896 E Babbit Ln
City
State
Zip
85349
Phone Number
928-722-6112
Fax Number
928-722-6113
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP5180 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP5180 (Arizona)
Definition
Definition to come...
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