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
Phone: (760) 578-3601
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043899099 | NPPES |
| California | Other | NPLICENSE | DO NOT HAVE |
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