NOELLE M BOTHE (NPI# 1740354208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740354208 |
| Entity Type | Individual |
| Full Name | NOELLE M BOTHE |
| Credential | NP |
| Practice Address |
4755 Ogletown-stanton Rd Room L805 Newark DE 19718-0001 |
| Mailing Address |
Po Box 30170 Wilmington DE 19805-7170 |
| Practice Telephone | 3027331512 |
| Practice Fax Number | 3027331890 |
| Mailing Telephone | 3026237049 |
| Mailing Fax Number | 3026237397 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
LG-0000143 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | LICENSE | LG-0000143 | 01 |
| Street Address |
4755 OGLETOWN-STANTON RD ROOM L805 |
| City | NEWARK |
| State | DE |
| Zip Code | 19718-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104825579 | Rebecca Lynn Yourinson | Internal Medicine | 4755 Ogletown-stanton Rd, Newark, DE 19718-0001 | 2005-07-19 |
| 1952939480 | Amanda Eberhardt | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, Newark, DE 19718 | 2020-03-30 |
| 1457855652 | Christopher Canfield | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, Newark, DE 19718 | 2018-03-21 |
| 1346771847 | Tina Hu | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, Newark, DE 19718 | 2017-03-26 |
| 1164812889 | Mahesh Polavarapu | Emergency Medicine | 4755 Ogletown-stanton Rd, Newark, DE 19718 | 2015-02-02 |
| 1962847707 | Sophia Cisler | Anesthesiology | 4755 Ogletown-stanton Rd, Newark, DE 19718-0002 | 2013-05-07 |
| 1407116296 | Amine El-amraoui | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, Newark, DE 19718-0002 | 2012-05-25 |
| 1144589037 | Eleanore Maletta Swank | Emergency Medicine | 4755 Ogletown-stanton Rd, Christiana Hospital Ste 2a00, Newark, DE 19718 | 2012-05-11 |
| 1891062022 | Carol Ann Timko | Nurse Anesthetist, Certified Registered | 4755 Ogletown-stanton Rd, Newark, DE 19718-0002 | 2011-11-16 |
| 1295977825 | James Aaron Leonard | Anesthesiology | 4755 Ogletown-stanton Rd, Newark, DE 19718 | 2009-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679026272 | Vikashsingh Parshin Rambhujun | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Road, Suite 2875, Newark, DE 19718 | 2016-07-29 |
| 1730536053 | David Nathan Levine | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, Christiana Health Care, Newark, DE 19718 | 2016-05-17 |
| 1831570332 | Waqas Abid | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, S-le45, Newark, DE 19718 | 2015-06-11 |
| 1366886368 | Amanda J Taylor | Family Medicine | 4755 Ogletown Stanton Rd Ste 6e34, Newark, DE 19718 | 2013-04-20 |
| 1114360872 | Kalpana Suresh | Surgery | 4755 Ogletown-stanton Rd., Newark, DE 19718 | 2013-04-12 |
| 1568580769 | Ember L. Crevar | Pediatrics | 4755 Ogletown Stanton Rd., Christiana Care Hospital - Dept. of Pediatrics, Newark, DE 19718 | 2007-03-26 |
| 1336283803 | Kevin William Smallwood | Physician Assistant | 4755 Ogletown-stanton Dr, Suite 1e50, Newark, DE 19718 | 2007-02-17 |
| 1023066404 | Samuel G Putnam IIi | Radiology | 4755 Ogletown Santon Road, Suite 1e20, Newark, DE 19718 | 2006-05-05 |
| 1053374181 | Hung Quang Dam | Nuclear Medicine | Nuclear Medicine, 4755 Ogletown-stanton Rd, Newark, DE 19718 | 2006-04-10 |
| 1346211018 | Robert Flinn | Internal Medicine | 4655 Ogletown-stanton Road, Suite 5343, Newark, DE 19718 | 2006-01-30 |
| Find all providers in zip 19718 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647892 | Katlyn Brewington | Nurse Practitioner | 1233b Churchmans Rd, Newark, DE 19713-2149 | 2020-10-25 |
| 1851990600 | Brandy Baker | Nurse Practitioner | 494 Yorkshire Dr, Newark, OH 43055-1522 | 2020-10-22 |
| 1508464397 | Abimbola Otufale | Nurse Practitioner | 252b Camden St, Newark, NJ 07103-2434 | 2020-10-13 |
| 1033755608 | Christine Nophut | Nurse Practitioner | 17 Polly Drummond Shpg Ctr, Newark, DE 19711-4820 | 2019-11-19 |
| 1215578091 | Lucy Ogechi Efobi | Nurse Practitioner | 194 Clinton Ave Lowr Level, Newark, NJ 07108-2809 | 2019-10-03 |
| 1518518323 | Jasmine Barksdale | Nurse Practitioner | 4110 Ogletown Stanton Rd, Newark, DE 19713-4169 | 2019-09-23 |
| 1467013136 | Getrude Tate Nguatem | Nurse Practitioner | Churchman Vlg, Newark, DE 19713-2068 | 2019-06-24 |
| 1285298679 | Olufolake Remi Adepoju | Nurse Practitioner | 258 Chapman Rd, Newark, DE 19702-5445 | 2019-05-01 |
| 1285100420 | Vida Araba Paintsil | Nurse Practitioner | University Hospital- Nursing Office, 90 Bergen Street, Newark, NJ 07102-0710 | 2018-10-15 |
| 1992291280 | Palak Praful Desai | Nurse Practitioner | 1 Chestnut Hill Plz, Newark, DE 19713-2701 | 2018-07-10 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.