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XIAOFENG S BOTNER
NPI 1962936831
Student in an Organized Health Care Education/Training Program in Grand Rapids, MI

Active since April 17, 2017
1104 STONEBROOK CT NE, GRAND RAPIDS, MI 49505(734) 649-9096 Get Directions Write a Review

NPPES record last updated: April 17, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Xiaofeng S Botner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

XIAOFENG S BOTNER (NPI 1962936831) is an individual student in an organized health care education/training program in Grand Rapids, Michigan, licensed in Michigan (5302042712) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1962936831
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameXIAOFENG S BOTNER
Location Address1104 STONEBROOK CT NEGrand Rapids, MI 49505-7216
Mailing Address1104 Stonebrook Ct NeGrand Rapids, MI 49505-7216 · (734) 649-9096
Phone(734) 649-9096
Sole ProprietorNo
Enumeration DateApril 17, 2017
✔ NPI 1962936831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 5302042712
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1104 STONEBROOK CT NE, Grand Rapids, MI 49505
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Xiaofeng Botner's NPI number?

The NPI number for Xiaofeng Botner is 1962936831. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Where is Xiaofeng Botner located?

Xiaofeng Botner practices at 1104 Stonebrook Ct NE, Grand Rapids, MI 49505. The listed phone number is (734) 649-9096.

What is Xiaofeng Botner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Xiaofeng Botner was last updated on April 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.