Individual provider · Type 1 NPI

John David Botero, NP-C

Family Nurse Practitioner · Lawrenceville, GA

NPI number 1083921274 Active

Practice location

631 Professional Dr Ste 450
Lawrenceville, GA 30046-3370

Fax (770) 339-9577

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	RN207415 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1083921274

John David Botero, NP-C's National Provider Identifier is 1083921274, issued on Sep 9, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lawrenceville, GA. The record was last updated on Sep 9, 2010.