Individual
BRANDI L BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
104 N WASHINGTON ST, PLEASANTVILLE, IA 50225-9312
(515) 848-3113
Mailing address
1002 S LINCOLN ST, KNOXVILLE, IA 50138-3121
(641) 842-2151
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A091098
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0463463
—
IA
Enumeration date
11/28/2005
Last updated
07/19/2013
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