Provider Demographics
NPI:1790362754
Name:BOYER, CHERIE ELIZABETH (RN)
Entity Type:Individual
Prefix:MS
First Name:CHERIE
Middle Name:ELIZABETH
Last Name:BOYER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 BRENTWOOD PL
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83651-2109
Mailing Address - Country:US
Mailing Address - Phone:208-481-0068
Mailing Address - Fax:
Practice Address - Street 1:3090 E GENTRY WAY STE 250
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-3596
Practice Address - Country:US
Practice Address - Phone:208-321-7896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-25
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID53924163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse