Individual provider · Type 1 NPI
Cynthia L. Booth, RN, MS, PCNS-BC
Pediatric Clinical Nurse Specialist · Chicago, IL
NPI number
1679721633
Active
Practice location
1801 W Taylor St # 2E, Children And Adolescent Center
Chicago, IL 60612-4319
Fax (312) 413-3445
Mailing address
1919 W Taylor St Rm 808, Children's Habilitation Clinic
Chicago, IL 60612-7246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 041-227271 (IL) |
| Pediatric Clinical Nurse Specialist Primary | 364SP0200X | 209-007230 (IL) |
Pediatric Clinical Nurse Specialist: Definition to come...
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About NPI 1679721633
Cynthia L. Booth, RN, MS, PCNS-BC's National Provider Identifier is 1679721633, issued on Sep 3, 2008. The primary taxonomy on file is Pediatric Clinical Nurse Specialist (364SP0200X), and the practice location is in Chicago, IL. The record was last updated on Sep 3, 2008.