Provider Demographics
NPI:1093495475
Name:BOOKER, SHERMAINE DANIELLE (CMA, CPT, CPRP)
Entity type:Individual
Prefix:MRS
First Name:SHERMAINE
Middle Name:DANIELLE
Last Name:BOOKER
Suffix:
Gender:F
Credentials:CMA, CPT, CPRP
Other - Prefix:MS
Other - First Name:SHERMAINE
Other - Middle Name:DANIELLE
Other - Last Name:KIDD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CMA, CPT
Mailing Address - Street 1:112 CROSSTIMBER WAY
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-3080
Mailing Address - Country:US
Mailing Address - Phone:240-818-3271
Mailing Address - Fax:
Practice Address - Street 1:112 CROSSTIMBER WAY
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-3080
Practice Address - Country:US
Practice Address - Phone:240-818-3271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No374U00000XNursing Service Related ProvidersHome Health Aide