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Individual

AVERY DEAN BOOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
1220 S ALMA SCHOOL RD STE 212, MESA, AZ 85210-2087
(480) 613-8162
Mailing address
11100 N 115TH ST APT 262, SCOTTSDALE, AZ 85259-4009
(208) 640-1015

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
312934
AZ

Other

Enumeration date
03/06/2025
Last updated
04/15/2025
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