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Kathy L Boothby, APRN
Adult Health Nurse Practitioner in South Portland, Maine
NPI 1427032432

Kathy L Boothby is an Adult Health Nurse Practitioner based in South Portland, ME and is specialized in Adult Health. Kathy L Boothby practices in South Portland, ME and has the professional credentials of APRN. The NPI Number for Kathy L Boothby is 1427032432 and holds a License No. 036390-23 (Maine).

The current practice location address for Kathy L Boothby is 54 Atlantic Pl, South Portland, ME and can be reached out via phone at 207-772-0929.

Location: 54 Atlantic Pl, South Portland, ME, 04106-2316
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Provider Profile Details
NPI Number
1427032432
Provider Name
Kathy L Boothby
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
54 Atlantic Pl, South Portland, ME, 04106-2316
Phone Number
207-772-0929
Fax Number
Provider Enumeration Date
12/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30343033 05 NH
1427032432 01 MA BCBS
40Y007193NH01 01 ANTHEM
institution
Provider Business Practice Location Address Details
Address
54 Atlantic Pl
City
State
Zip
04106-2316
Phone Number
207-772-0929
Fax Number
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Provider Business Mailing Address Details
Address
54 Atlantic Pl
City
State
Zip
04106-2316
Phone Number
207-772-0929
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
036390-23 (New Hampshire)
Definition
Definition to come...
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