Booth, Leesa Simanton

Booth, Leesa Simanton is an individual health care provider with primary practice located at 119 Calle De Las Rosas , Rancho Mirage CA 92270-8001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Booth, Leesa Simanton can be contacted via phone (760) 578-3601.

Contact Information

Primary practice address
119 Calle De Las Rosas Rancho Mirage CA 92270-8001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X NP95014445 California
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NP95014445 California

Profile Details

NPI number 1043899099
LBN Legal business name Booth, Leesa Simanton
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2021
Last updated Apr 6th, 2021 - about 3 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 1043899099 NPPES
California Other NPLICENSE DO NOT HAVE

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