Individual provider · Type 1 NPI

Brenda Galvin Booth, NP

Nurse Practitioner · Fayetteville, NC

NPI number 1255417838 Active

Practice location

1248 Fort Bragg Rd
Fayetteville, NC 28305-4981

Fax (888) 391-5874

Mailing address

112 Parkview Ave
Fayetteville, NC 28305-4908

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5000596 (NC)
Adult Health Nurse Practitioner 363LA2200X2005003026 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1255417838

Brenda Galvin Booth, NP's National Provider Identifier is 1255417838, issued on Oct 27, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fayetteville, NC. The record was last updated on Jun 19, 2012.