Booth, Brenda Galvin

Booth, Brenda Galvin is an individual health care provider with primary practice located at 1248 Fort Bragg Rd , Fayetteville NC 28305-4981. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Booth, Brenda Galvin can be contacted via phone (910) 323-0334.

Contact Information

Primary practice address
1248 Fort Bragg Rd Fayetteville NC 28305-4981
Phone: (910) 323-0334
Fax: (888) 391-5874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5000596 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2005003026 North Carolina

Profile Details

NPI number 1255417838
LBN Legal business name Booth, Brenda Galvin
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jun 19th, 2012 - about 12 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 1255417838 NPPES
Maryland Other 2005003026 AMERICAN NURSES CREDENTIALING CENTER

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