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Matthew Booth, CRNP
Psychiatric/Mental Health Nurse Practitioner in Kingston, Pennsylvania
NPI 1053162735

Matthew Booth is a Psychiatric/Mental Health Nurse Practitioner based in Edwardsville, PA and is specialized in Psychiatric/Mental Health. Matthew Booth practices in Kingston, PA and has the professional credentials of CRNP. The NPI Number for Matthew Booth is 1053162735 and holds a License No. SP029539 (Pennsylvania).

The current practice location address for Matthew Booth is 480 Pierce St Ste 320, Kingston, PA and can be reached out via phone at 570-479-1627.

Location: 480 Pierce St Ste 320, Kingston, PA, 18704-5901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053162735
Provider Name
Matthew Booth
Credential
CRNP
Provider Entity Type
Individual
Gender
Male
Address
480 Pierce St Ste 320, Kingston, PA, 18704-5901
Phone Number
570-479-1627
Fax Number
Provider Enumeration Date
03/29/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
480 Pierce St Ste 320
City
Kingston
State
Pennsylvania
Zip
18704-5512
Phone Number
570-479-1627
Fax Number
person
Provider Business Mailing Address Details
Address
480 Pierce St Ste 320
City
Kingston
State
Pennsylvania
Zip
18704-5512
Phone Number
570-479-1627
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
SP029539 (Pennsylvania)
Definition
Definition to come...
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