Booth, Shannon Dee

Booth, Shannon Dee is an individual health care provider with primary practice located at 1363 W Spruce Ave , Wasilla AK 99654-5327. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Booth, Shannon Dee can be contacted via phone (907) 376-2411.

Contact Information

Primary practice address
1363 W Spruce Ave Wasilla AK 99654-5327
Phone: (907) 376-2411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 174083 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 182979 Alaska

Profile Details

NPI number 1083379184
LBN Legal business name Booth, Shannon Dee
Credentials MSN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2021
Last updated Sep 13th, 2023 - 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.

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