Individual provider · Type 1 NPI

Shannon Dee Booth, MSN, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Wasilla, AK

NPI number 1083379184 Active

Practice location

1363 W Spruce Ave
Wasilla, AK 99654-5327

Other practice locations

  • 3261 S Big Lake Rd, Big Lake, AK 99623-9663 · (907) 376-2411
  • 425 E Dahlia Ave Ste M, Palmer, AK 99645-6463 · (907) 376-2411

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X182979 (AK)
Registered Nurse 163W00000X174083 (AK)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XAPRN-4445 (HI)

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

107 other providers at this address

Other psychiatric/mental health nurse practitioner providers in Wasilla

See all in Wasilla →

About NPI 1083379184

Shannon Dee Booth, MSN, PMHNP-BC's National Provider Identifier is 1083379184, issued on Nov 3, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Wasilla, AK. The record was last updated on Mar 19, 2025.