Booth, Angela Lynn

Booth, Angela Lynn is an individual health care provider with primary practice located at 615 Shipyard Blvd , Wilmington NC 28412-6431. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Booth, Angela Lynn can be contacted via phone (910) 343-0145.

Contact Information

Primary practice address
615 Shipyard Blvd Wilmington NC 28412-6431
Phone: (910) 343-0145
Fax: (910) 202-9966
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001007254 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001007254 North Carolina

Profile Details

NPI number 1174971600
LBN Legal business name Booth, Angela Lynn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2016
Last updated May 4th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174971600 NPPES
North Carolina MEDICAID 1174971600
North Carolina MEDICAID 3542PA

Popular Providers