Individual provider · Type 1 NPI
David J. Booth, APRN
Adult Health Nurse Practitioner · West Haven, CT
NPI number
1154564284
Active
Practice location
I Cellini Place, Suite 102
West Haven, CT 06516-1666
Fax (203) 932-4051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 071318 (CT) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 004113 (CT) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1154564284
David J. Booth, APRN's National Provider Identifier is 1154564284, issued on Apr 20, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in West Haven, CT. The record was last updated on Mar 8, 2023.