Provider Demographics
NPI:1740309301
Name:BOOKER, CHERIE LEE (FNP)
Entity type:Individual
Prefix:MRS
First Name:CHERIE
Middle Name:LEE
Last Name:BOOKER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3330 CHURN CREEK RD
Mailing Address - Street 2:D1
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-2532
Mailing Address - Country:US
Mailing Address - Phone:530-222-9643
Mailing Address - Fax:530-222-9602
Practice Address - Street 1:3330 CHURN CREEK RD
Practice Address - Street 2:D1
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-2532
Practice Address - Country:US
Practice Address - Phone:530-222-9643
Practice Address - Fax:530-222-9602
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP9069363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00174094OtherRAILROAD MEDICARE
CARN4337340Medicaid
CARN4337340Medicaid
CAZZZ31564ZMedicare ID - Type Unspecified