Dr ELISE J BOOTH is a female medical professional, specializing in Nurse Practitioner. She graduated in 2018.
INTEGRATED MEDICAL GROUP
2244 E HARMONY RD
SUITE 110
FORT COLLINS
CO
805283422
Tel: 9702261117
| Npi | 1104396498 |
| Pac Id | 9830435015 |
| Professional Enrollment Id | I20190109000335 |
| Last Name | BOOTH |
| First Name | ELISE |
| Middle Name | J |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
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| Organization Legal Name | INTEGRATED MEDICAL GROUP |
| Group Practice Pac Id | 4082975537 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 2244 E HARMONY RD |
| Line 2 Street Address | SUITE 110 |
| Marker Of Address Line 2 Suppression | |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 805283422 |
| Phone Number | 9702261117 |
| Hospital Affiliation Ccn 1 | 061312 |
| Hospital Affiliation Lbn 1 | ESTES PARK MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | M |
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