Individual provider · Type 1 NPI
Gwendolyn Meredith Booth, RN
Psychiatric/Mental Health Registered Nurse · Pasadena, CA
NPI number
1073173183
Active
Practice location
2900 E Del Mar Blvd
Pasadena, CA 91107-4375
Mailing address
29008 Gladiolus Dr
Canyon Country, CA 91387-1828
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 845947 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1073173183
Gwendolyn Meredith Booth, RN's National Provider Identifier is 1073173183, issued on Jun 20, 2019. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Pasadena, CA. The record was last updated on Jun 20, 2019.