Provider Demographics
NPI:1881415354
Name:BOTELHO, MARIA CONSUELO (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:CONSUELO
Last Name:BOTELHO
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:CONSUELO
Other - Last Name:BARRANCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:301 COURTNEY ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-6700
Mailing Address - Country:US
Mailing Address - Phone:508-985-8389
Mailing Address - Fax:
Practice Address - Street 1:132 OLD RIVER RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865-1161
Practice Address - Country:US
Practice Address - Phone:401-334-1044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-17
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICAPRN04359363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily