Individual
CHERYL K BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
301 GORDON GUTMANN BLVD, SUITE 301, JEFFERSONVILLE, IN 47130-3764
(812) 288-9969
(812) 288-9657
Mailing address
315 E BROADWAY, LOUISVILLE, KY 40202-3700
(502) 629-2500
(502) 629-2055
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007490
KY
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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