Individual
SHANI GORIO BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP, PMHNP
Contact information
Practice address
42334 DELUXE PLZ STE 2, HAMMOND, LA 70403-1237
(985) 662-5520
Mailing address
1752 OX BOW LN, COVINGTON, LA 70433-7273
(985) 507-8436
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP05920
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP05920
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1803634
—
LA
Enumeration date
07/30/2009
Last updated
07/23/2025
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