Individual
DANIELLE BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
125 BAY VIEW AVE, RIVERSIDE, RI 02915-4955
(401) 438-3706
Mailing address
26 SOMERSET AVE, RIVERSIDE, RI 02915-2433
(401) 480-7211
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN43781
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DB63301
—
RI
Enumeration date
03/15/2007
Last updated
07/09/2007
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