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Individual

MRS. CHRISTINE P BOOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
75 SYLVAN ST, SUITE B-102, DANVERS, MA 01923-2740
(978) 774-7566
Mailing address
11 54TH ST, NEWBURY, MA 01951-1417
(978) 462-1873

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0531032312
NH
363L00000X
Nurse Practitioner
Primary
177115
MA
363LA2100X
Acute Care Nurse Practitioner
053103-23-12
NH

Other

Enumeration date
07/26/2006
Last updated
10/26/2008
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