Diane Marie Booth
NPI #1063721975 in Fort Leavenworth, Kansas
Provider Information
- NPI Number
- 1063721975
- Entity Type
- Individual
- Name
- Diane Marie Booth
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Sep 28, 2010
- Last Updated
- Sep 28, 2010
Practice Location
- Address
- 550 POPE AVE
- City
- Fort Leavenworth
- State
- Kansas
- ZIP Code
- 66027-2332
- Phone
- (913) 684-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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