Individual provider · Type 1 NPI

Yasmin Renee Boothe

Licensed Practical Nurse · Rochester, NY

NPI number 1104720481 Active

Practice location

111 Dove St
Rochester, NY 14613-1315

Call (585) 703-3881 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X350992 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1104720481

Yasmin Renee Boothe's National Provider Identifier is 1104720481, issued on Oct 8, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rochester, NY. The record was last updated on Oct 8, 2026.