Individual
JUDITH A. BOOTH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
ONE ELLIOT WAY, NEONATOLOGY SERVICES - ELLIOT HOSPITAL, MANCHESTER, NH 03103
(603) 663-2692
(602) 663-3982
Mailing address
ONE ELLIOT WAY, NEONATOLOGY SERVICES - ELLIOT HOSPITAL, MANCHESTER, NH 03103
(603) 663-2692
(602) 663-3982
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
034647-23-10
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30341253
—
NH
Enumeration date
03/23/2006
Last updated
07/09/2007
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