Healthcare Provider Details

I. General information

NPI: 1023259587
Provider Name (Legal Business Name): LINDA BETH HILLIKER CNS RXN, NP, L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDA BETH BOTSFORD NP

II. Dates (important events)

Enumeration Date: 03/13/2009
Last Update Date: 10/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

955 LAWRENCE WAY SUITE 150
DENVER CO
80204
US

IV. Provider business mailing address

PO BOX 173362, CAMPUS BOX 20
DENVER CO
80217-3362
US

V. Phone/Fax

Practice location:
  • Phone: 303-615-9999
  • Fax: 720-778-5850
Mailing address:
  • Phone: 303-615-9999
  • Fax: 720-778-5850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRXP 0100593
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number203549
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number2606
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberF400184
License Number StateNY
# 5
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number0990651
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: