Provider Demographics
NPI:1598658833
Name:BOOTH, GRETA VERDE (CD)
Entity type:Individual
Prefix:
First Name:GRETA
Middle Name:VERDE
Last Name:BOOTH
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:689 N BEAU CHENE DR
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-1724
Mailing Address - Country:US
Mailing Address - Phone:985-807-8080
Mailing Address - Fax:
Practice Address - Street 1:533 S GALVEZ ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-7515
Practice Address - Country:US
Practice Address - Phone:504-215-8510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula