Individual
MRS. ANNIE SHEHADE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
170 DR ARLA WAY, SUITE 101, LOUISVILLE, KY 40229-5427
(502) 955-8480
Mailing address
170 DR ARLA WAY, SUITE 101, LOUISVILLE, KY 40229-5427
(502) 955-8480
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4001374
KY
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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