Active NPIIndividual providerSole proprietor

Mrs. Kimberly A Bottone, APN

Nurse Practitioner, Neonatal in Derby, Connecticut

NPI Number1922391101
Practice location
130 Division St, Derby, CT 06418-1326
Fax
203-732-1539
Last updated
January 13, 2021

Kimberly Aine Bottone is a Nurse Practitioner, Neonatal based in Derby, CT. Kimberly Aine Bottone practices in Derby, CT and has the professional credentials of APN. The NPI Number for Kimberly Aine Bottone is 1922391101 and holds a License No. 4667 (CT). The current practice location address for Kimberly Aine Bottone is 130 Division St, Derby, CT 06418-1326 and can be reached out via phone at 203-732-7252 and via fax at 203-732-1539.

Provider Profile Details

NPI Number
1922391101
Provider Name
Kimberly Aine Bottone
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
130 Division St, Derby, CT 06418-1326
Phone Number
203-732-7252
Fax Number
203-732-1539
Primary Taxonomy
Nurse Practitioner, Neonatal · 363LN0000X
Sole Proprietor
Yes
Provider Enumeration Date
May 22, 2011
Last Update Date
January 13, 2021
Certification Date
January 13, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Division St
Derby, CT 06418-1326
City
Derby
Zip
06418-1326
Phone Number
203-732-7252
Fax Number
203-732-1539
Derby, CT 06418Get directions →

Provider Business Mailing Address Details

Address
67 Maple Ave
Derby, CT 06418-1328
City
Derby
State
CT
Zip
06418-1328
Phone Number
203-732-1330
Fax Number
203-732-1332

License Information

License Number
4667
License State
CT
Taxonomy
Nurse Practitioner, Neonatal · 363LN0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Kimberly A Bottone, APN?

The NPI number of Mrs. Kimberly A Bottone, APN is 1922391101. It was assigned on May 22, 2011 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kimberly A Bottone, APN?

Mrs. Kimberly A Bottone, APN is registered under the primary taxonomy Nurse Practitioner, Neonatal (code 363LN0000X), licensed in CT under license number 4667.

Where does Mrs. Kimberly A Bottone, APN practice?

The practice location is 130 Division St, Derby, CT 06418-1326. The office can be reached at 203-732-7252 (phone) or 203-732-1539 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922391101 directly on the NPPES registry website.

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