Individual
SHANNON DEE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC
Contact information
Practice address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 376-2411
Mailing address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 376-2411
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
174083
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
182979
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN-4445
HI
Other
Enumeration date
11/03/2021
Last updated
03/19/2025
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