Laura A Booth (NPI# 1154495620, PAC ID# 9931394236) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1154495620 |
| PAC ID by PECOS | 9931394236 |
| Professional Enrollment ID | I20101112000055 |
| Full Name | Laura A Booth |
| Organization Legal Name | MOBILE WOUND CARE PHYSICIAN ASSISTANT CORPORATION |
| Address |
4876 Santa Monica Ave Suite 241 San Diego CA 92107-2811 |
| Phone Number | 8602270611 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6507178514 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4876 Santa Monica Ave, Suite 241, San Diego, CA 92107-2811 | 8602270611 | MOBILE WOUND CARE PHYSICIAN ASSISTANT CORPORATION |
| Organization Legal Name | MOBILE WOUND CARE PHYSICIAN ASSISTANT CORPORATION |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Myrna Razo | Nurse Practitioner | Mobile Wound Care Physician Assistant Corporation | 4876 Santa Monica Ave, Suite 241, San Diego, CA 92107-2811 |
| Debra J Hexom | Nurse Practitioner | Mobile Wound Care Physician Assistant Corporation | 4876 Santa Monica Ave, Suite 241, San Diego, CA 92107-2811 |
| Melissa A Brito | Nurse Practitioner | Mobile Wound Care Physician Assistant Corporation | 4876 Santa Monica Ave, Suite 241, San Diego, CA 92107-2811 |
| Street Address |
4876 SANTA MONICA AVE SUITE 241 |
| City | SAN DIEGO |
| State | CA |
| Zip | 92107-2811 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Myrna Razo | Nurse Practitioner | Mobile Wound Care Physician Assistant Corporation | 4876 Santa Monica Ave, Suite 241, San Diego, CA 92107-2811 |
| Debra J Hexom | Nurse Practitioner | Mobile Wound Care Physician Assistant Corporation | 4876 Santa Monica Ave, Suite 241, San Diego, CA 92107-2811 |
| Melissa A Brito | Nurse Practitioner | Mobile Wound Care Physician Assistant Corporation | 4876 Santa Monica Ave, Suite 241, San Diego, CA 92107-2811 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Warren Melvin Patch Jr. | Chiropractic | 1952 Sunset Cliffs Blvd, San Diego, CA 92107-2824 | |
| Eli Ben Moshe | Optometry | 4822 Newport Ave, San Diego, CA 92107-3111 | |
| Mary Best | Clinical Social Worker | 1804 Cable St, Suite B, San Diego, CA 92107-3141 |
| City | SAN DIEGO |
| Zip Code | 92107 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAN DIEGO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Laura A Booth.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.