Individual
MARY ELLEN BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1140 UNIVERSITY AVENUE, MONROE, LA 71209-5702
(318) 342-1651
(318) 342-3280
Mailing address
130 DESIARD ST STE 355, MONROE, LA 71201-7363
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
213927
LA
Other
Enumeration date
07/08/2020
Last updated
06/13/2022
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