Individual
ELIZABETH J BOOTH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
632 PROSPECT AVE, SCRANTON, PA 18505
(570) 348-6144
Mailing address
632 PROSPECT AVE, SCRANTON, PA 18505
(570) 348-6144
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP004898B
PA
Other
Enumeration date
01/20/2006
Last updated
07/08/2007
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