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Individual

MRS. CINDY NICOLE BOOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-C

Contact information

Practice address
1500 DODSON AVE STE 230, FORT SMITH, AR 72901-5179
(479) 709-7490
(479) 709-7495
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(479) 709-7490
(479) 709-7495

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
214598
OK
363LF0000X
Family Nurse Practitioner
Primary
221971
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201204890A
OK
Enumeration date
06/26/2023
Last updated
04/24/2026
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