Carolyn Aleywine Bottin, RN
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Lulu, FL
NPI 1063809408 · NPPES record last updated Apr 23, 2015
Key facts
- NPI
- 1063809408
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- RN1516812 (FL)
- Practice address
- 11692 SE County Road 245
Lulu, FL 32061-7716 - Phone
- (904) 233-5438
- NPI assigned
- Apr 23, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1516812 | FL | MD | Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN1516812 | FL | Yes |
Addresses
Primary practice location
11692 SE County Road 245
Lulu, FL 32061-7716
Mailing address
11692 SE County Road 245
Lulu, FL 32061-7716
Phone (904) 233-5438
Other providers in Lulu, FL
All providers in Lulu, FL · Psychiatric/Mental Health Registered Nurse in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.