Individual
BARBARA BEBE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RN,CNS
Contact information
Practice address
700 CEDAR ST, STE 154, ALEXANDRIA, MN 56308-1769
(320) 762-2400
(320) 762-8047
Mailing address
111 17TH AVE E, ALEXANDRIA, MN 56308-3703
(320) 762-1511
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R0677530
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089257200
—
MN
01
—
928011040901
PREFERREDONE
MN
01
—
HP51546
HEALTHPARTNERS
MN
01
—
P00430374
RAILROAD MEDICARE
MN
Enumeration date
04/07/2006
Last updated
07/17/2008
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