NPI Profile for ANN BOOMER in BANGOR, ME.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neonatal |
363LN0000X | 50 | Nurse Practitioner | |
Neonatal-Perinatal Medicine |
2080N0001X | 37 | Physician/Pediatric Medicine |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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ANN BOOMER
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