Provider Demographics
NPI:1538059357
Name:CHERE B NP LLC
Entity type:Organization
Organization Name:CHERE B NP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOHR
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, FNP-C
Authorized Official - Phone:307-298-1680
Mailing Address - Street 1:1077 GOLDEN RANGE DR
Mailing Address - Street 2:
Mailing Address - City:BURNS
Mailing Address - State:WY
Mailing Address - Zip Code:82053-9135
Mailing Address - Country:US
Mailing Address - Phone:307-298-1680
Mailing Address - Fax:307-372-2988
Practice Address - Street 1:1077 GOLDEN RANGE DR STE 127
Practice Address - Street 2:
Practice Address - City:BURNS
Practice Address - State:WY
Practice Address - Zip Code:82053-9135
Practice Address - Country:US
Practice Address - Phone:307-298-1680
Practice Address - Fax:307-298-1680
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHERE B NP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center