Individual
HARRIET BOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
455 KILBURY RD, MARION, OH 43302-4530
(740) 695-7795
(740) 756-6027
Mailing address
455 KILBURY RD, MARION, OH 43302-4530
(973) 343-1999
(740) 756-6027
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
348434
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0029550
OH
Other
Enumeration date
07/12/2021
Last updated
11/02/2025
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