MEDICARE: MRS. RACHEL DAWN BOTKIN ANP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	71003701A	IN

General Provider Information

NPI Number	:	1417230970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RACHEL DAWN BOTKIN ANP

Provider Business Mailing Address
First Line	:	7612 DAVIS LN
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46236-8876
Country	:	US
Telephone Number	:	317-313-5597
Fax Number	:

Provider Business Practice Location Address
First Line	:	7322 NOEL RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46278-1515
Country	:	US
Telephone Number	:	317-653-0232
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2011
Last Update Date	:	03/10/2026

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