NPI

Mary E Booth

NPI 1003459132

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Credential
DNP
Type
Individual
Enumeration date
2019-10-22
Last updated
2024-10-21

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Specialties

Licenses

License MO
2019031435
License IA
A180897

Location

Practice location
1 Saint Joseph Dr
City
Centerville IA
Postal code
52544-9017
Phone
(641) 856-8684
Fax
(641) 548-5233

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Family Nurse Practitioners in Centerville, IA. 19 with this primary taxonomy in the public file.

Other NPIs in Centerville, IA. 180 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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