Individual provider · Type 1 NPI

Tyler Booth, FNP-BC

Family Nurse Practitioner · Albuquerque, NM

NPI number 1245800986 Active

Practice location

4901 Lang Ave NE
Albuquerque, NM 87109-4397

Mailing address

2900 Wisconsin St NE
Albuquerque, NM 87110-2458

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X64242 (NM)

Family Nurse Practitioner: Definition to come...

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About NPI 1245800986

Tyler Booth, FNP-BC's National Provider Identifier is 1245800986, issued on Jun 25, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Albuquerque, NM. The record was last updated on Sep 20, 2024.