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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELIJAH BOOTHE, FNP-C

Active

ELIJAH BOOTHE, FNP-C is a Family Nurse Practitioner healthcare provider located in HARRISONBURG, Louisiana. NPI 1568824019 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · HARRISONBURG, LA

Registration Details

NPI Number
1568824019
Provider Type
Individual
Gender
Male
NPI Issued
Mar 23, 2016 (10.395541005033 yrs)
Last Updated
Mar 23, 2016
Licenses
RN132128 (LA)
AP07815 (LA)

Practice Information

Address
499 OLD COLUMBIA RD
HARRISONBURG, LA, 713403001
Browse LA providers · Browse ZIP 71340
Phone
3187442121
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.