Provider Demographics
NPI:1457478026
Name:BOTZ, BARBARA A (NP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:A
Last Name:BOTZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:ANN
Other - Last Name:BOTZ BRENNAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN APN C
Mailing Address - Street 1:841 FRANKLIN AVE
Mailing Address - Street 2:SUITE 5 THE WOMEN'S HEALTH CENTER AT FRANKLIN CIRCLE
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417
Mailing Address - Country:US
Mailing Address - Phone:201-891-8811
Mailing Address - Fax:201-891-9010
Practice Address - Street 1:841 FRANKLIN AVE
Practice Address - Street 2:SUITE 5 THE WOMEN'S HEALTH CENTER AT FRANKLIN CIRCLE
Practice Address - City:FRANKLIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07417
Practice Address - Country:US
Practice Address - Phone:201-891-8811
Practice Address - Fax:201-891-9010
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN499000363LW0102X
NJ26NR04994000163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
034436DBVOtherPIN
NJ595974Medicare UPIN
034436DBVOtherPIN
S95974Medicare UPIN