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Contact Information

ANN BOOMER, NNP
NICU PROFESSIONAL SERVICES EMMC
489 STATE STREET
BANGOR, ME04401-0404
 Phone: 207-973-8670
 Fax: 207-973-5163
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal

363LN0000X 50 Nurse Practitioner
 

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ANN BOOMER · (Female)

NPI Number 1245267335
Status Active
Credentials NNP
Entity Individual
Enumeration date 06/26/2006
Last updated 11/05/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • ME License # CNP81620
  • ME License # R048086
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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