Individual
MRS. ANGELA LEE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3632 AMERICAN WAY, CASPER, WY 82604-3164
(307) 234-6765
Mailing address
3632 AMERICAN WAY, CASPER, WY 82604-3164
(307) 234-6765
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22031.1556
WY
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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