Individual provider · Type 1 NPI

Diane M. Booth, APRN

Nurse Practitioner · Lakeland, FL

NPI number 1922306398 Active

Practice location

1600 Lakeland Hills Blvd.
Lakeland, FL 33805-3019

Fax (866) 264-8519

Mailing address

4324 Cleveland Heights Blvd
Lakeland, FL 33813-1706

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN695902 (FL)

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 1922306398

Diane M. Booth, APRN's National Provider Identifier is 1922306398, issued on Mar 8, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lakeland, FL. The record was last updated on Jun 12, 2025.