Cheryl Elaine Boback, C.R.N.A.
Individual provider Active NPI Nurse Practitioner · Windber, PA
NPI 1720053671 · NPPES record last updated Apr 20, 2015
Key facts
- NPI
- 1720053671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN147805L (PA)
- Practice address
- 600 Somerset Ave
Windber, PA 15963-1331 - Phone
- (814) 467-3450
- NPI assigned
- Feb 22, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windber Hospital, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN147805L | PA | Yes |
Addresses
Primary practice location
600 Somerset Ave
Windber, PA 15963-1331
Mailing address
116 Elwood Dr
Portage, PA 15946-2045
Phone (814) 736-4821
Other providers in Windber, PA
- Deanna Lynn Bassett
- David J Bencie
- Brian Martin Bernard
- Peter Marcel Bertin
- Tonya Bibby
- Lorraine Anne Borrell
- Kayla Jean Brehm
- Trudi J Brown
- Sarah Elizabeth Bucci
- Kristiana Lanae Cascino
All providers in Windber, PA · Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.