Provider Demographics
NPI:1306023197
Name:ALBRITTON, COURTNEY BUEKER (FNP-BC)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:BUEKER
Last Name:ALBRITTON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 CAMELLIA BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-7089
Mailing Address - Country:US
Mailing Address - Phone:337-233-3201
Mailing Address - Fax:337-233-3207
Practice Address - Street 1:1301 CAMELLIA BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-7089
Practice Address - Country:US
Practice Address - Phone:337-233-3201
Practice Address - Fax:337-233-3207
Is Sole Proprietor?:No
Enumeration Date:2008-01-24
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAPPLIED FOR363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily