Individual
ANITA W BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2000 GREEN ST BLDG B, FARRELL, PA 16121-1369
(724) 342-6900
(724) 342-6905
Mailing address
PO BOX 716, 100 SHENANGO AVENUE, SHARON, PA 16146-0716
(724) 342-6900
(724) 342-6905
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN517085L
PA
363LW0102X
Women's Health Nurse Practitioner
Primary
UP006925B
PA
Other
Enumeration date
11/25/2005
Last updated
07/21/2022
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