National Provider Identifier

Candice J Botticello, RN

Candice J Botticello, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Niagara Falls, NY and a listed phone number of (716) 205-8708.

NPI 1194159442Niagara Falls, NYRegistered Nurse

Profile Overview

NPI
1194159442
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
August 22, 2013
Last Updated
August 22, 2013

Practice Location

  • 418 3Rd St
  • Suite 101
  • Niagara Falls, NY 14301-1506

Phone: (716) 205-8708

Mailing Address

  • 95 Old Carriage House RD
  • Grand Island, NY 14072-3212

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1194159442
Entity Type
Individual
Last Name
Botticello
First Name
Candice
Middle Name
J
Credential
RN
Mailing Street Address
95 Old Carriage House RD
Mailing City
Grand Island
Mailing State
NY
Mailing ZIP Code
14072-3212
Mailing Country
US
Mailing Phone
(716) 773-6510
Practice Street Address
418 3Rd St
Practice Address Line 2
Suite 101
Practice City
Niagara Falls
Practice State
NY
Practice ZIP Code
14301-1506
Practice Country
US
Practice Phone
(716) 205-8708
Practice Fax
(716) 299-0374
Enumeration Date
August 22, 2013
Last Updated
August 22, 2013
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)