Cynthia J Booten
Family Doctor Nurse Practitioner
436 Clairmont Ct Suite 100
Colonial Heights
, Virginia 23834-1765
Cynthia J Booten
Family Doctor Nurse Practitioner
436 Clairmont Ct Suite 100
Colonial Heights
, Virginia 23834-1765
(804) 520-2617
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About
Features
Specialties
- Family Doctor
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Cynthia J Booten
- 436 Clairmont Ct Suite 100
- Colonial Heights, VA
- Zip : 23834-1765
- Fax : (804) 520-2617
- Phone : (804) 526-2121
Second Address
- Cynthia J Booten
- 436 Clairmont Ct Suite 100
- Colonial Heights, VA
- Zip : 23834-1765
- Fax : (804) 520-2617
- Phone : (804) 526-2121
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 007138155 | VA |
| Y | 363L00000X | Nurse Practitioner | 0024166276 | VA |
National Provider Identifier
| NPI | 1003989351 |
|---|---|
| Provider Name | Cynthia J Booten |
| First Address | Colonial Heights, VA 23834-1765 |
| Second Address | Colonial Heights, VA 23834-1765 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/11/2006 |
| Last Update Date | 20/02/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1003989351 | NPI (01) | VA |
| 11657718 | CAQH (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.