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Angela Booth

Nurse Practitioner

11115 Parkview Plaza Dr
Fort Wayne , Indiana 46845-1701

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Image

Angela Booth

Nurse Practitioner

11115 Parkview Plaza Dr
Fort Wayne , Indiana 46845-1701

Write a Review Save Call

Angela Booth

Nurse Practitioner

11115 Parkview Plaza Dr
Fort Wayne , Indiana 46845-1701

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner

Languages spoken

  • English

Location

11115 Parkview Plaza Dr Fort Wayne , Indiana 46845-1701

First Address

  • Angela Booth
  • 3702 New Vision Dr Bldg B
  • Fort Wayne, IN
  • Zip : 46845-1703
  • Phone :

Second Address

  • Angela Booth
  • 11115 Parkview Plaza Dr
  • Fort Wayne, IN
  • Zip : 46845-1701
  • Phone : (260) 672-6400

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FAQs


Where did Angela Booth attend graduate school?

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Where did Angela Booth do her residency?

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Where did Angela Booth do her fellowship?

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Is Angela Booth board certified?

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What type of doctor is Angela Booth

Nurse Practitioner

In what state does Angela Booth practice in?

Indiana

Where is Angela Booth ’s practice located?

11115 Parkview Plaza Dr , Fort Wayne, Indiana, 46845-1701

What is Angela Booth ’s gender?

Female

Is Angela Booth a sole practitioner?

No

Is Angela Booth accepting new patients?

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What languages does Angela Booth speak?

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Does Angela Booth accept insurance?

Yes, Angela Booth accepts insurance

Does Angela Booth offers telemedicine?

Angela Booth has not indicated if she offers telemedicine

What is Angela Booth ’s professional license number?

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What is Angela Booth ’s NPI number?

1003473307

Does Angela Booth have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 363L00000X Nurse Practitioner 71009148 IN

National Provider Identifier

NPI 1003473307
Provider Name Angela Booth
First Address Fort Wayne, IN 46845-1703
Second Address Fort Wayne, IN 46845-1701
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 22/05/2019
Last Update Date 29/08/2019

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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