Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK BOOTH
Active Sole ProprietorDEREK BOOTH is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in LAFAYETTE, Indiana. NPI 1568852986 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · LAFAYETTE, IN
Registration Details
- NPI Number
- 1568852986
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2015 (11.370836308325 yrs)
- Last Updated
- Jan 24, 2015
- License
-
71005314B (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
415 N 26TH STSUITE 201LAFAYETTE, IN, 479042895Browse IN providers · Browse ZIP 47904
- Phone
- 7654466577
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in LAFAYETTE, IN
| Name | Credential | NPI |
|---|---|---|
| MRS. JILL E SHELBY | NP | 1467482570 |
| CHRISTY R MCLAUGHLIN | A.P.N. | 1578595120 |
| LEANN K SHARP | APN | 1275703803 |
| MELISSA ANN GWIN | NP | 1124278569 |
| CHANTEL KELLY ANDERSON | NP | 1235369380 |
| BIMALA DEVKOTA | — | 1972984599 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.