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Avery Booth, PMHNP-BC

NPI 1679371389 · on the registry since 2025

Practice

Address: 1220 S Alma School Rd Ste 212
Mesa, AZ 85210
Phone: (480) 613-8162
Organisation at this address: Surestep
A Willows Grace
Cactus Flower Healing Llc
Revival Psychiatry And Ketamine Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Additional practice sites

11100 N 115th St Apt 262, Scottsdale, AZ

Registry record

Primary taxonomy: Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-04-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona