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Individual

LINDA R BOOTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
333 SOUTH STREET, UMASS CORRECTIONAL HEALTH, SHREWSBURY, MA 01545
(078) 425-4341
Mailing address
PO BOX 1218, SHIRLEY, MA 01464-1218
(078) 425-4341

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
163346
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0318043
MA
Enumeration date
02/13/2008
Last updated
08/07/2008
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