Individual
MS. PAULA ANTOINETTE BOMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, NNP
Contact information
Practice address
6001 E WOODMEN RD, COLORADO SPRINGS, CO 80923-2601
(719) 571-3276
Mailing address
19435 INDIAN SUMMER LN, MONUMENT, CO 80132-9422
(719) 481-2033
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
49382
CO
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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