Individual
KRISTEN BOOTHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8239 MEADOWBRIDGE RD STE A, MECHANICSVILLE, VA 23116-2318
(804) 730-0800
Mailing address
2642 FLEET AVE, HENRICO, VA 23228-5136
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024179919
VA
Other
Enumeration date
12/03/2020
Last updated
06/10/2021
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