NPI 1699060004 · live from the CMS NPI Registry
Rhonda Bottke, Arnp
Nurse Practitioner, Pediatrics in Waterloo, IA. National Provider Identifier 1699060004, active.
NPI record
| NPI | 1699060004 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1407 Independence Ave, 5th Floor, Waterloo, IA 50703 |
| Practice phone | 319-291-2413 |
| Enumerated | June 14, 2011 |
| Last updated | June 14, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | C-060165 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.