Booten, Cynthia J

Booten, Cynthia J is an individual health care provider with primary practice located at 436 Clairmont Ct Suite 100, Colonial Heights VA 23834-1765. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Booten, Cynthia J can be contacted via phone (804) 526-2121.

Contact Information

Primary practice address
436 Clairmont Ct Suite 100 Colonial Heights VA 23834-1765
Fax: (804) 520-2617
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 007138155 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024166276 Virginia

Profile Details

NPI number 1003989351
LBN Legal business name Booten, Cynthia J
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Feb 20th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003989351 NPPES
Virginia Other 1003989351 NPI
Virginia Other 11657718 NPI

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