Individual
CHERIE BOETTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3100 SWISS AVE, DALLAS, TX 75204-6025
(214) 821-8190
(214) 821-9040
Mailing address
3100 SWISS AVE, DALLAS, TX 75204-6025
(214) 821-8190
(214) 821-9040
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
248188
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4581569
AETNA
TX
01
—
63665
GREAT-WEST NATIONAL ACCT.
TX
01
—
80705
GREAT-WEST HEALTHCARE
TX
01
—
86N553
BCBS
TX
Enumeration date
05/21/2007
Last updated
07/08/2007
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