Individual
BROOKE DENISE BOOHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
611 BELL RD SE, CLEVELAND, TN 37323-9003
(423) 715-0897
Mailing address
611 BELL RD SE, CLEVELAND, TN 37323-9003
(423) 728-4020
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27712
TN
363LF0000X
Family Nurse Practitioner
F06200392
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14677662
CAQH
—
Enumeration date
06/24/2020
Last updated
06/24/2020
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