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Individual

ELIZABETH ANN BOOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1020 CENTER AVE, PITTSBURGH, PA 15229-1724
(412) 931-3066
(712) 939-9965
Mailing address
8150 PERRY HWY STE 201, PITTSBURGH, PA 15237-5200
(724) 741-0044
(412) 939-9965

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP028911
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104277643-0001
PA
05
104277643-0002
PA
Enumeration date
12/12/2023
Last updated
06/19/2024
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