person
Derek Booth
Psychiatric/Mental Health Nurse Practitioner in Lafayette, Indiana
NPI 1568852986

Derek Booth is a Psychiatric/Mental Health Nurse Practitioner based in Lafayette, IN and is specialized in Psychiatric/Mental Health. Derek Booth practices in Lafayette, IN. The NPI Number for Derek Booth is 1568852986 and holds a License No. 71005314B (Indiana).

The current practice location address for Derek Booth is 415 N 26Th St, Lafayette, IN and can be reached out via phone at 765-446-6577. You can also correspond with Derek Booth through the mailing address at 415 N 26TH ST, LAFAYETTE, IN - 47904-2895 (mailing address contact number: ).

Location: 415 N 26Th St, Lafayette, IN, 47904-2895
person
Provider Profile Details
NPI Number
1568852986
Provider Name
Derek Booth
Credential
Provider Entity Type
Individual
Gender
Male
Address
415 N 26Th St, Lafayette, IN, 47904-2895
Phone Number
765-446-6577
Fax Number
Provider Enumeration Date
01/24/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
415 N 26Th St
City
State
Zip
47904-2895
Phone Number
765-446-6577
Fax Number
person
Provider Business Mailing Address Details
Address
415 N 26Th St
City
State
Zip
47904-2895
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
71005314B (Indiana)
Definition
Definition to come...
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