NPI 1063721975

Diane Marie Booth

Practitioner Registered Nurse Fort Leavenworth, KS

Practice location

Address: 550 Pope Ave, Fort Leavenworth, KS 66027-2332
Phone: (913) 684-6000

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 14-64943-052 (KS)

Other Registered Nurse providers in Kansas →

Registry record

NPI: 1063721975
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Sep 2010
Record last updated: 28 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.