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Fred Boothby, CNP
Nurse Practitioner in Allegan, Michigan
NPI 1962483271

Fred Boothby is a Nurse Practitioner based in Allegan, MI. Fred Boothby practices in Allegan, MI and has the professional credentials of CNP. The NPI Number for Fred Boothby is 1962483271 and holds a License No. 4704142595 (Michigan).

The current practice location address for Fred Boothby is 3285 122Nd Ave, Allegan, MI and can be reached out via phone at 269-673-6617 and via fax at 269-673-2738. You can also correspond with Fred Boothby through the mailing address at 3285 122ND AVE, ALLEGAN, MI - 49010-9511 (mailing address contact number: 269-673-6617).

Location: 3285 122Nd Ave, Allegan, MI, 49010-9511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962483271
Provider Name
Fred Boothby
Credential
CNP
Provider Entity Type
Individual
Gender
Male
Address
3285 122Nd Ave, Allegan, MI, 49010-9511
Phone Number
269-673-6617
Fax Number
269-673-2738
Provider Enumeration Date
11/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4699274 05 MI
5008704740 01 MI BCBS
institution
Provider Business Practice Location Address Details
Address
3285 122Nd Ave
City
Allegan
State
Michigan
Zip
49010-9511
Phone Number
269-673-6617
Fax Number
269-673-2738
person
Provider Business Mailing Address Details
Address
3285 122Nd Ave
City
Allegan
State
Michigan
Zip
49010-9511
Phone Number
269-673-6617
Fax Number
269-673-2738
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4704142595 (Michigan)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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