| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MELISSA ANN BOTARD | 1346859444 | 2020-07-24 |
Melissa Ann Botard is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1346859444. Registration indicates Melissa Ann Botard is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Mrs. Melissa Ann Botard FNP-C |
| Practice Office Address | 2118 DUBLIN DR LEAGUE CITY, TX US |
| Practice Office Telephone | 2817230163 |
| Mailing Address | 2118 DUBLIN DR LEAGUE CITY, TX 775734963 US |
| Business Telephone | 2817230163 |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | AP145583
TX |