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Bradley David Boothe, CNP
Family Nurse Practitioner in Troy, Ohio
NPI 1275032914

Bradley David Boothe is a Family Nurse Practitioner based in Troy, OH and is specialized in Family. Bradley David Boothe practices in Troy, OH and has the professional credentials of CNP. The NPI Number for Bradley David Boothe is 1275032914 and holds a License No. APRN.CNP.022278 (Ohio).

The current practice location address for Bradley David Boothe is 998 S Dorset Rd, Troy, OH and can be reached out via phone at 937-440-7358.

Location: 998 S Dorset Rd, Troy, OH, 45373-4753
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275032914
Provider Name
Bradley David Boothe
Credential
CNP
Provider Entity Type
Individual
Gender
Male
Address
998 S Dorset Rd, Troy, OH, 45373-4753
Phone Number
937-440-7358
Fax Number
Provider Enumeration Date
02/08/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0265013 05 OH
institution
Provider Business Practice Location Address Details
Address
998 S Dorset Rd
City
Troy
State
Ohio
Zip
45373-4753
Phone Number
937-440-7358
Fax Number
person
Provider Business Mailing Address Details
Address
998 S Dorset Rd
City
Troy
State
Ohio
Zip
45373-4753
Phone Number
937-440-7358
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APRN.CNP.022278 (Ohio)
Definition
Definition to come...
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