Individual
CHERYL ANN BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3719 DAUPHIN STREET, BUILDING 2, MOBILE, AL 36608
(251) 460-5461
(251) 340-6954
Mailing address
PO BOX 8246, MOBILE, AL 36689-0246
(251) 460-5461
(251) 340-6954
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
1-127130
AL
363L00000X
Nurse Practitioner
Primary
1-127130
AL
363LA2100X
Acute Care Nurse Practitioner
1-127130
AL
Other
Enumeration date
11/16/2018
Last updated
08/13/2019
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