Individual provider · Type 1 NPI
Matthew Bothell, BSN, RN
Registered Nurse · Provo, UT
Practice location
1244 Alpine Way
Provo, UT 84606-5390
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 12124598-3102 (UT) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1912802489
Matthew Bothell, BSN, RN's National Provider Identifier is 1912802489, issued on Oct 13, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Provo, UT. The record was last updated on Oct 13, 2026.