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Ms. Deanna Marie Booth, LPN
Licensed Practical Nurse in Watertown, New York
NPI 1770802639

Deanna Marie Booth is a Licensed Practical Nurse based in Watertown, NY. Deanna Marie Booth practices in Watertown, NY and has the professional credentials of LPN. The NPI Number for Deanna Marie Booth is 1770802639 and holds a License No. 271892 (New York).

The current practice location address for Deanna Marie Booth is 454 Portage St, Watertown, NY and can be reached out via phone at 315-489-5570.

Location: 454 Portage St, Watertown, NY, 13601-3239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770802639
Provider Name
Deanna Marie Booth
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
454 Portage St, Watertown, NY, 13601-3239
Phone Number
315-489-5570
Fax Number
Provider Enumeration Date
05/18/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
454 Portage St
City
Watertown
State
New York
Zip
13601-3239
Phone Number
315-489-5570
Fax Number
person
Provider Business Mailing Address Details
Address
454 Portage St
City
Watertown
State
New York
Zip
13601-3239
Phone Number
315-489-5570
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
271892 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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