Provider Demographics
NPI:1093348799
Name:BOOKER, COURTNEE (DOULA)
Entity Type:Individual
Prefix:
First Name:COURTNEE
Middle Name:
Last Name:BOOKER
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2604 WHITEWATER WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95826-2125
Mailing Address - Country:US
Mailing Address - Phone:760-274-5386
Mailing Address - Fax:
Practice Address - Street 1:2604 WHITEWATER WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95826-2125
Practice Address - Country:US
Practice Address - Phone:760-274-5386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-20
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula