Cheryl Elaine Boback in Portage - Nurse Practitioner

Cheryl Elaine Boback - NPI 1720053671

Cheryl Elaine Boback is a Nurse Practitioner in Portage, Pennsylvania. Cheryl Elaine Boback practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Cheryl Elaine Boback is 1720053671. The last update date is 2015-04-20.

Cheryl Elaine Boback's current location address is 116 Elwood Dr, Portage, Pennsylvania. You can contact this provider via phone number 8147364821 and fax number 8147363495. The mailing address for Cheryl Elaine Boback is 116 Elwood Dr, Portage, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Cheryl Elaine Boback
Address 116 Elwood Dr, Portage, Pennsylvania
Phone Number 8147364821
Fax Number 8147363495
Sole Proprietor N
Credentials C.R.N.A.

NPI Number Detail

NPI Number 1720053671
Provider Enumeration Date 2006-02-22
Last Updated Date 2015-04-20

Provider Mailing Address Detail

Address 116 Elwood Dr
City Portage
State Pennsylvania (PA)
Post Code 159462045
Phone Number 8147364821
Fax Number 8147363495

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No RN147805L
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

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FAQs about Cheryl Elaine Boback

What is the Cheryl Elaine Boback's 1720053671?

The Cheryl Elaine Boback's NPI (National Provider Identifier) Number is 1720053671. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Cheryl Elaine Boback is physically located?

The Cheryl Elaine Boback is physically situated at the following address: 116 Elwood Dr, Portage, PA, 159462045.

What is Cheryl Elaine Boback's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Cheryl Elaine Boback is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1720053671 to Cheryl Elaine Boback?

The Cheryl Elaine Boback received its 1720053671 assignment from the Centers for Medicare & Medicaid Services on 2006-02-22.

As of what date were the details related to Cheryl Elaine Boback most recently updated or revised?

The information pertaining to Cheryl Elaine Boback, including its address, specialty, and other relevant details, was last updated or revised on 2015-04-20.

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