Individual
DANA MARIE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-2246
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-2246
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
833413
TX
363LW0102X
Women's Health Nurse Practitioner
9478931
FL
363LW0102X
Women's Health Nurse Practitioner
AP121941
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024951000
—
TX
05
—
101721100
—
FL
Enumeration date
07/10/2008
Last updated
10/17/2024
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