Individual provider · Type 1 NPI

Chantala Booth

School Registered Nurse · Moriarty, NM

NPI number 1043045636 Active

Practice location

2422 State Highway 333
Moriarty, NM 87035

Mailing address

PO Box 604
Moriarty, NM 87035-0604

Specialties and licenses

TaxonomyCodeLicense
School Registered Nurse Primary 163WS0200XRN-82148 (NM)

School Registered Nurse: Definition to come...

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About NPI 1043045636

Chantala Booth's National Provider Identifier is 1043045636, issued on Sep 4, 2024. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Moriarty, NM. The record was last updated on Sep 4, 2024.