Individual
SARAH MARY BOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
18432 KENRICK AVE, LAKEVILLE, MN 55044-9288
(952) 992-6700
Mailing address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8301
MN
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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