Individual
KAREN LEWIS BOOTH
Active
Individual
KAREN LEWIS BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NP
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
276629-1
NY
163WP2201X
Ambulatory Care Registered Nurse
7344852
TN
363LG0600X
Gerontology Nurse Practitioner
Primary
F340062-1
NY
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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