Individual provider · Type 1 NPI

Kathleen Marie Booth, RNC, NP

Family Nurse Practitioner · St. Paul, MN

NPI number 1114057510 Active

Practice location

2115 Summit Ave, Student Health Services # 5056
St. Paul, MN 55105

Fax (651) 962-6751

Mailing address

7 Red Pine Rd
North Oaks, MN 55127-2030

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR1226809 (MN)

Family Nurse Practitioner: Definition to come...

13 other providers at this address

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About NPI 1114057510

Kathleen Marie Booth, RNC, NP's National Provider Identifier is 1114057510, issued on Mar 6, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Paul, MN. The record was last updated on Jul 8, 2007.