National Provider Identifier
Jacquelyn Anne Botticelli, N.P.
Jacquelyn Anne Botticelli, N.P. is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 668-7051.
Profile Overview
- NPI
- 1356349740
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- July 11, 2005
- Last Updated
- March 11, 2009
Practice Location
- 60 Innsbruck Dr
- Buffalo, NY 14227-2735
Phone: (716) 668-7051
Mailing Address
- 3332 Walden Ave.
- Suite 110
- Depew, NY 14043
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1356349740
- Entity Type
- Individual
- Last Name
- Botticelli
- First Name
- Jacquelyn
- Middle Name
- Anne
- Name Prefix
- Mrs.
- Credential
- N.P.
- Mailing Street Address
- 3332 Walden Ave.
- Mailing Address Line 2
- Suite 110
- Mailing City
- Depew
- Mailing State
- NY
- Mailing ZIP Code
- 14043
- Mailing Country
- US
- Mailing Phone
- (716) 668-7051
- Mailing Fax
- (716) 669-7069
- Practice Street Address
- 60 Innsbruck Dr
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14227-2735
- Practice Country
- US
- Practice Phone
- (716) 668-7051
- Practice Fax
- (716) 669-7069
- Enumeration Date
- July 11, 2005
- Last Updated
- March 11, 2009
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)
- Other Identifiers
- 9515444 (NY, Independent Health), 03061112 (NY)