Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fred Boothby, CNP

Individual provider Nurse Practitioner · NPI 1962483271

Fred Boothby, CNP is a Nurse Practitioner in Allegan, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

3285 122nd Ave Po Drawer 130
Allegan, MI 49010-9511
Phone: (269) 673-6617
Fax: (269) 673-2738
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704142595 (MI)

Record details

NPI number1962483271
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedNovember 14, 2005
Last updated in NPPESJanuary 18, 2008
Mailing address3285 122nd Ave, P.O. Drawer 130, Allegan, MI 49010-9511

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