Manuela Botero

Anesthesiologist Assistant · Lawrenceville, GA

Individual Active NPI

NPI number 1194252379

Practice location

1209 Lochshyre Ct
Lawrenceville, GA 30043-4474
Phone
(404) 966-5071

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NPI record

NPI
1194252379
Entity type
Individual (Type 1)
Enumeration date
May 18, 2017
Last updated
January 21, 2026
Certified
January 21, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Anesthesiologist Assistant Primary 367H00000X AA1175 FL

About Manuela Botero

Manuela Botero is a healthcare provider registered in the NPI registry with the primary taxonomy Anesthesiologist Assistant (code 367H00000X). The practice location is 1209 Lochshyre Ct, Lawrenceville, GA 30043-4474. The NPI number 1194252379 was assigned on May 18, 2017 and the record was last updated on January 21, 2026.

Manuela Botero lists a license in the registry: #AA1175 (FL) for Anesthesiologist Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Manuela Botero?

The NPI number is 1194252379.

What is the phone number of Manuela Botero?

The phone number listed for the practice location is (404) 966-5071.

Where is Manuela Botero located?

1209 Lochshyre Ct, Lawrenceville, GA 30043-4474.

What is the taxonomy code for Manuela Botero?

The primary taxonomy code is 367H00000X – Anesthesiologist Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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