Individual
MARY E BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1 SAINT JOSEPH DR, CENTERVILLE, IA 52544-9017
(641) 856-8684
(641) 548-5233
Mailing address
1 SAINT JOSEPH DR, CENTERVILLE, IA 52544-9017
(641) 437-3000
(641) 437-3403
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2019031435
MO
363LF0000X
Family Nurse Practitioner
Primary
A180897
IA
Other
Enumeration date
10/22/2019
Last updated
10/21/2024
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