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Individual

THERESA GRACE BOOTHBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, NP-C

Contact information

Practice address
44 W BOYLSTON ST, WORCESTER, MA 01605
(866) 389-2727
Mailing address
44 W BOYLSTON ST, WORCESTER, MA 01605-1261
(866) 389-2727

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN213709
MA

Other

Enumeration date
06/09/2017
Last updated
09/05/2019
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