Individual provider · Type 1 NPI

Matthew Booth, CRNP

Psychiatric/Mental Health Nurse Practitioner · Kingston, PA

NPI number 1053162735 Active

Practice location

480 Pierce St Ste 320
Kingston, PA 18704-5512

Call (570) 479-1627 Map

Mailing address

510 Isabelle Ct Apt B
Edwardsville, PA 18704-5901

Other practice locations

  • 510 Isabelle Ct Apt B, Edwardsville, PA 18704-5901 · (570) 479-1627

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XSP029539 (PA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1053162735

Matthew Booth, CRNP's National Provider Identifier is 1053162735, issued on Mar 29, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Kingston, PA. The record was last updated on Mar 29, 2024.