IndividualActive
Mary Booth, DNP
NPI 1003459132 · Family Nurse Practitioner · Centerville, IA
Provider details
- NPI number
- 1003459132
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP
- Sex
- Female
- Sole proprietor
- No
- License
- 2019031435 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1 Saint Joseph Dr
Centerville, IA 52544-9017
Phone: (641) 856-8684
Fax: (641) 548-5233
Approximate (ZIP-level) locationGet directions
Mailing address
1 Saint Joseph Dr
Centerville, IA 52544-9017
Registry dates
- Enumerated
- 2019-10-22
- Last updated
- 2024-10-21
- Certified
- 2024-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.