Lois R Botelho, RN

Individual provider Active NPI Registered Nurse · Warwick, RI

NPI 1700990397 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1700990397
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
41749 (RI)
Practice address
227 Centerville Rd
Warwick, RI 02886-4394
Phone
(401) 732-3332
Fax
(401) 739-0196
NPI assigned
Aug 19, 2006
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

LicenseStateTypeSpecialty
41749RIMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 41749 RI Yes

Addresses

Primary practice location

227 Centerville Rd
Warwick, RI 02886-4394

Mailing address

227 Centerville Rd
Warwick, RI 02886-4394
Phone (401) 732-3332

Other providers in Warwick, RI

All providers in Warwick, RI · Registered Nurse in Rhode Island

Sources for this page

Verify at the official NPI Registry.