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Individual

HANNAH BOOMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
201404953NP-PP
OR
367A00000X
Advanced Practice Midwife
AP60306575
WA

Other

Enumeration date
10/08/2012
Last updated
04/19/2021
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