John Boothby, CRNA

NPI 1992741599 · on the registry since 2006

Practice

Address: 408 Hazen St
Paw Paw, MI 49079
Phone: (269) 657-1325
Fax: (269) 657-1419
Organisation at this address: Bronson Lakeview Hospital
Southwestern Michigan Emergency Services, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 367500000X
367500000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-01-13

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 Michigan