KELLIE H BOOTH CRNP
NPI 1639868458
Nurse Practitioner - Psychiatric/Mental Health in Devon, PA
Active since May 08, 2023
About Kellie H Booth Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIE H BOOTH CRNP (NPI 1639868458) is an individual psychiatric/mental health provider in Devon, Pennsylvania, licensed in Pennsylvania (SP027493) and active in the NPI registry since May 2023.
NPPES Registry Identity
NPI1639868458
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELLIE H BOOTHCredential: CRNP
Location Address400 W LANCASTER AVEDevon, PA 19333-1531
Mailing Address400 W Lancaster AveDevon, PA 19333-1531 · (610) 851-4800
Phone(610) 851-4800
Sole ProprietorNo
Enumeration DateMay 8, 2023
NPPES CertifiedMay 6, 2023
✔ NPI 1639868458 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · SP027493
400 W LANCASTER AVE, Devon, PA 19333
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639868458, enumerated as an "individual" on May 08, 2023.
The provider is located at 400 W LANCASTER AVE DEVON, PA 19333 and the phone number is (610) 851-4800.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.