Individual
HEIDI S BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
408 W 45TH ST, AUSTIN, TX 78751-3014
(512) 451-5800
(512) 459-1399
Mailing address
4700 SETON CENTER PKWY, STE 200, AUSTIN, TX 78759-4107
(512) 439-1000
(512) 439-1081
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
746718
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297997302
—
TX
Enumeration date
05/11/2011
Last updated
09/18/2015
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