Annie Stevens Boothe, CRNP Valid NPI

Individual provider · Primary Care Nurse Practitioner · Fort Rucker, AL

NPI

1396726733

Type

Individual (Type 1)

Primary specialty

Primary Care Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP2300X

License number

1-019110 (AL)

Sex

Female

Sole proprietor

No

Enumerated

2005-11-11

Last updated

2007-07-08