Individual
CHERYL LYNN BOISVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
104 GEORGE BISHOP PKWY, MYRTLE BEACH, SC 29579-7335
(800) 805-6989
Mailing address
301 27TH AVENUE SOUTH, B, NORTH MYRTLE BEACH, SC 29582
(413) 222-6442
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
300601
NC
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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