Fred Boothby
CNP | Nurse Practitioner
3285 122nd Ave, P.o. Drawer 130, Allegan
Michigan, 49010-9511
269-673-6617
May or may not accept Medicare Nurse Anesthetist in Allegan, Michigan.Fred Boothby is a Allegan, Michigan based nurse practitioner. Active license number of Fred Boothby is 4704142595 in Michigan. His current practice location is 3285 122nd Ave, P.o. Drawer 130, Allegan. Patients can reach him at 269-673-6617 or can fax him at 269-673-2738. Fred Boothby is CNP and his NPI number (Unique professional ID assigned by NPPES) is 1962483271.
Fred Boothby has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Fred Boothby speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Fred Boothby |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | CNP |
| Practice Address: | 3285 122nd Ave, P.o. Drawer 130, Allegan, Michigan, 49010-9511 |
| Phone: | 269-673-6617 |
| Fax: | 269-673-2738 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1962483271 |
| NPI Enumeration Date: | 14 Nov, 2005 |
| NPI Last Update On: | 18 Jan, 2008 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fred Boothby are as mentioned below.
| License Number | Specialization | State | Status | |
| 4704142595 | | Michigan | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Fred Boothby such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 4699274 | Medicaid | Michigan | |
| 5008704740 | Other | Michigan | BCBS |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Fred Boothby 3285 122nd Ave, P.o. Drawer 130 Allegan, Michigan |
| Zip: | 49010-9511 |
| Phone Number: | 269-673-6617 |
| Fax Number: | 269-673-2738 |
Patients can reach Fred Boothby at
3285 122nd Ave, P.o. Drawer 130, Allegan, Michigan or can
call to book an appointment on 269-673-6617.
Comments/ Reviews:
Patients can read all the reviews posted for Fred Boothby below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Fred Boothby. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.