Marilee Green Bomar in Columbia - Gerontology
Marilee Green Bomar - NPI 1013954601
Marilee Green Bomar is a Gerontology in Columbia, Missouri. Marilee Green Bomar practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Marilee Green Bomar is 1013954601. The last update date is 2019-05-03.
Marilee Green Bomar's current location address is 551 E Southampton Dr, Columbia, Missouri. You can contact this provider via phone number 5738847733 and fax number 5738826228. The mailing address for Marilee Green Bomar is 551 E Southampton Dr, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marilee Green Bomar |
|---|---|
| Address | 551 E Southampton Dr, Columbia, Missouri |
| Phone Number | 5738847733 |
| Fax Number | 5738826228 |
| Sole Proprietor | N |
| Credentials | MSN |
NPI Number Detail
| NPI Number | 1013954601 |
|---|---|
| Provider Enumeration Date | 2006-06-01 |
| Last Updated Date | 2019-05-03 |
Provider Mailing Address Detail
| Address | 551 E Southampton Dr |
|---|---|
| City | Columbia |
| State | Missouri (MO) |
| Post Code | 652014236 |
| Phone Number | 5738847733 |
| Fax Number | 5738826228 |
Provider's Primary Taxonomy Detail
| Speciality | Gerontology |
|---|---|
| Taxonomy | 364Sg0600X |
| Licence No | 128845 |
|
Definition: An advanced practice registered nurse with expertise in care of older adults. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 420750200 | MO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Marilee Green Bomar?
The Marilee Green Bomar has been issued the NPI (National Provider Identifier) 1013954601 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Marilee Green Bomar?
The Marilee Green Bomar is physically situated at 551 E Southampton Dr, in the city of Columbia, state of MO, with the postal code 652014236.
What is the area of specialization for Marilee Green Bomar, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Marilee Green Bomar is Gerontology, and the corresponding taxonomy code that categorizes this area of expertise is 364Sg0600X.
On what date did the Marilee Green Bomar receive the assignment of its 1013954601 from the Centers for Medicare & Medicaid Services?
The Marilee Green Bomar was issued its 1013954601 by the Centers for Medicare & Medicaid Services on 2006-06-01.
As of what date were the details pertaining to Marilee Green Bomar last refreshed?
The information related to the Marilee Green Bomar, including its address, specialty, and other relevant details, was last updated on 2019-05-03.