Provider Demographics
NPI:1053073734
Name:BOOHER, AMBER K
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:K
Last Name:BOOHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 BYAL AVE
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-1516
Mailing Address - Country:US
Mailing Address - Phone:419-202-5874
Mailing Address - Fax:
Practice Address - Street 1:1905 W COVE CT
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-6608
Practice Address - Country:US
Practice Address - Phone:419-672-1119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-09
Last Update Date:2021-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide