Individual provider · Type 1 NPI

Tina M. L. Botsford, MSN, FNP-BC

Family Nurse Practitioner · Mount Pleasant, WI

NPI number 1255974358 Active

Practice location

3811 Spring St
Mount Pleasant, WI 53405-1667

Call (262) 498-1773 Map

Mailing address

1682 Echo Ln
Racine, WI 53406-4802

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	969333 (WI)

Family Nurse Practitioner: Definition to come...

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About NPI 1255974358

Tina M. L. Botsford, MSN, FNP-BC's National Provider Identifier is 1255974358, issued on Oct 21, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mount Pleasant, WI. The record was last updated on Oct 21, 2019.