Individual
ANDREA BOOHAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1201 11TH AVE S, BIRMINGHAM, AL 35205
(205) 930-7100
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1-143005
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
1143005
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y8703
BCBS
TX
Enumeration date
07/24/2008
Last updated
02/06/2024
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