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Contact Information

MARILEE G BOMAR, MSN
551 E SOUTHAMPTON DR
COLUMBIA, MO65201-4236
 Phone: 573-884-7733
 Fax: 573-882-6228
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

364SG0600X 89 Certified Clinical Nurse Specialist
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARILEE G BOMAR · (Female)

NPI # 1013954601
Status Active
Credentials MSN
Entity Individual
Enumeration date 06/01/2006
Last updated 05/03/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 128845
  • MO Medicaid 420750200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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