THERESA GRACE BOOTHBY MSN APRN NP-C NPI 1053840389

NPI Information

NPI: 1053840389
Provider Name: THERESA GRACE BOOTHBY, MSN, APRN, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
44 W BOYLSTON ST
WORCESTER, MA
ZIP 01605
Phone: (866) 389-2727
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Theresa Grace Boothby, MSN, APRN, NP-C is a family nurse practitioner in Worcester, MA. Theresa Grace Boothby, MSN, APRN, NP-C NPI is 1053840389. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

44 W BOYLSTON ST
WORCESTER, MA
ZIP 01605
Phone: (866) 389-2727

The NPI 1053840389 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/9/2017 and was last updated on 9/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN213709	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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