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Individual
ELIZABETH ANN BOOTON
Active
Individual
ELIZABETH ANN BOOTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.N, F.N.P,
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
271053-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271053-4405
STATE LICENSE
UT
Enumeration date
01/24/2007
Last updated
07/08/2007
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