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Laura A Booth, RN, MS, CNS, ANP-BC

Nurse Practitioner in San Diego, CA. Individual provider (NPI-1).

NPI number1154495620
StatusActive
Last updated in NPPESMar 25, 2014

Details

NPI
1154495620
Entity type
Individual (NPI-1)
Name
Laura A Booth
Credential
RN, MS, CNS, ANP-BC
Sex
Female
Sole proprietor
No
Enumeration date
Nov 17, 2006
Last updated
Mar 25, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner16389CAYes
163W00000X Registered Nurse531287CA
364S00000X Clinical Nurse Specialist2476CA

Practice location

3350 La Jolla Village Dr
San Diego, CA 92161-0002

Phone 858-642-6277

Mailing address

3350 La Jolla Village Dr
San Diego, CA 92161-0002

Phone 858-642-6277

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