Individual
MS. PATRICIA CRAIG BOOHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
701 MEDICAL PARK DR, HUMBOLDT, TN 38343-3034
(731) 784-4300
(731) 784-4308
Mailing address
701 MEDICAL PARK DR, HUMBOLDT, TN 38343-3034
(731) 784-4300
(731) 784-4308
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000127326
TN
363L00000X
Nurse Practitioner
Primary
RN0000127326
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2427722
CIGNA
—
05
—
3908364
—
TN
01
—
4165097
BLUE CROSS BLUE SHIELD
TN
01
—
7587201
AETNA
—
Enumeration date
07/31/2006
Last updated
04/14/2015
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