Individual provider · Type 1 NPI

Avery Dean Booth, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Mesa, AZ

NPI number 1679371389 Active

Practice location

1220 S Alma School Rd Ste 212
Mesa, AZ 85210-2087

Mailing address

11100 N 115th St Apt 262
Scottsdale, AZ 85259-4009

Other practice locations

  • 11100 N 115th St Apt 262, Scottsdale, AZ 85259-4009 · (208) 640-1015

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X312934 (AZ)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1679371389

Avery Dean Booth, PMHNP-BC's National Provider Identifier is 1679371389, issued on Mar 6, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mesa, AZ. The record was last updated on Apr 15, 2025.