Individual
RIANNE BOOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
555 BRIDGEPORT AVE, SHELTON, CT 06484-4892
(203) 225-0506
Mailing address
555 BRIDGEPORT AVE, SHELTON, CT 06484-4892
(203) 690-6179
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
12606
CT
364SG0600X
Gerontology Clinical Nurse Specialist
12606
CT
Other
Enumeration date
11/07/2023
Last updated
10/01/2024
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