Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marlise Gnutzmann Botelho, PA

Individual provider Medical Physician Assistant · NPI 1285801647

Marlise Gnutzmann Botelho, PA is a Physician Assistant in Dayton, Ohio. Qualified in 2007, 19 years ago. Practices with Grand Traverse Physician Services PC, a 123-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
19
Licensed in
OH
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

33 W Rahn Rd
Dayton, OH 45429-2219
Phone: (937) 433-8990
Fax: (937) 433-8691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2764 (OH)

Record details

NPI number1285801647
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 14, 2008
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Grand Traverse Physician Services Pc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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