Individual provider · Type 1 NPI
Botagoz Basu, APRN
Gerontology Nurse Practitioner · Dallas, TX
NPI number
1346091360
Active
Practice location
505 W Colorado Blvd
Dallas, TX 75208-2410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 1096925 (TX) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1346091360
Botagoz Basu, APRN's National Provider Identifier is 1346091360, issued on Mar 28, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Dallas, TX. The record was last updated on Jun 8, 2024.