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Individual

MACIE ANN BOOKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1274 7TH ST STE A, PORT TOWNSEND, WA 98368-2404
(360) 385-2204
(360) 385-3095
Mailing address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
(360) 385-2200
(360) 373-4988

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP61130443
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61130443
WA
363LP2300X
Primary Care Nurse Practitioner
AP61130443
WA

Other

Enumeration date
01/14/2021
Last updated
04/16/2024
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