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Individual

MRS. LINDA L BOOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
3200 MACCORKLE AVENUE SE, HOSPITALIST PROGRAM, CHARLESTON, WV 25304
(304) 388-5848
(304) 388-9654
Mailing address
3200 MACCORKLE SEAVE, SUITE B16, CHARLESTON, WV 25304-1297
(304) 388-5848
(304) 388-9654

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F1105238
WV
363LF0000X
Family Nurse Practitioner
Primary
26771
WV

Other

Enumeration date
07/20/2006
Last updated
12/16/2015
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