Individual
MRS. ANN BOOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
NICU PROFESSIONAL SERVICES EMMC, 489 STATE STREET, BANGOR, ME 04401-0404
(207) 973-8670
(207) 973-5163
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-5000
(207) 973-5163
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
CNP81620
ME
2080N0001X
Neonatal-Perinatal Medicine Physician
R048086
ME
363LN0000X
Neonatal Nurse Practitioner
Primary
CNP81620
ME
Other
Enumeration date
06/26/2006
Last updated
11/05/2024
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