Individual
MS. TRACI LYNN BOOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC, ONC
Contact information
Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 289-7497
(337) 289-8670
Mailing address
204 RIVERGRASS DR, LAFAYETTE, LA 70508-7223
(337) 241-4385
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07531
LA
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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