Booth, Shani Gorio

Booth, Shani Gorio is an individual health care provider with primary practice located at 42388 Pelican Professional Park , Hammond LA 70403-2412. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Booth, Shani Gorio can be contacted via phone (985) 542-6251.

Contact Information

Primary practice address
42388 Pelican Professional Park Hammond LA 70403-2412
Phone: (985) 542-6251
Fax: (985) 345-2386
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN097276 Louisiana

Profile Details

NPI number 1407087034
LBN Legal business name Booth, Shani Gorio
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2009
Last updated Nov 9th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407087034 NPPES
Louisiana MEDICAID 1803634
Louisiana Other P00830859
Louisiana Other D06873

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