- Practice location
- Nicu Professional Services Emmc, 489 State Street, Bangor, ME 04401-0404
- Phone
- 207-973-8670
- Fax
- 207-973-5163
- Last updated
- November 5, 2024
Ann Boomer is a Nurse Practitioner, Neonatal based in Bangor, ME. Ann Boomer practices in Bangor, ME and has the professional credentials of NNP. The NPI Number for Ann Boomer is 1245267335 and holds a License No. R048086 (ME). The current practice location address for Ann Boomer is Nicu Professional Services Emmc, 489 State Street, Bangor, ME 04401-0404 and can be reached out via phone at 207-973-8670 and via fax at 207-973-5163.
Provider Profile Details
- NPI Number
- 1245267335
- Provider Name
- Ann Boomer
- Credential
- NNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- Nicu Professional Services Emmc, 489 State Street, Bangor, ME 04401-0404
- Phone Number
- 207-973-8670
- Fax Number
- 207-973-5163
- Primary Taxonomy
- Nurse Practitioner, Neonatal · 363LN0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 26, 2006
- Last Update Date
- November 5, 2024
- Certification Date
- November 5, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Nicu Professional Services Emmc
489 State Street
Bangor, ME 04401-0404 - City
- Bangor
- State
- Maine
- Zip
- 04401-0404
- Phone Number
- 207-973-8670
- Fax Number
- 207-973-5163
Provider Business Mailing Address Details
- Address
- 43 Whiting Hill RD Ste 300
Brewer, ME 04412-1006 - City
- Brewer
- State
- ME
- Zip
- 04412-1006
- Phone Number
- 207-973-5000
- Fax Number
- 207-973-5163
License Information
- License Number (1)
- R048086
- License State (1)
- ME
- Taxonomy (1)
- Pediatrics, Neonatal-Perinatal Medicine · 2080N0001X
- License Number (2)
- CNP81620
- License State (2)
- ME
- Taxonomy (2)
- Pediatrics, Neonatal-Perinatal Medicine · 2080N0001X
- License Number (3)
- CNP81620
- License State (3)
- ME
- Taxonomy (3)
- Nurse Practitioner, Neonatal · 363LN0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Ann Boomer, NNP?
The NPI number of Mrs. Ann Boomer, NNP is 1245267335. It was assigned on June 26, 2006 and is currently active in the NPPES registry.
What is the specialty of Mrs. Ann Boomer, NNP?
Mrs. Ann Boomer, NNP is registered under the primary taxonomy Nurse Practitioner, Neonatal (code 363LN0000X), licensed in ME under license number R048086.
Where does Mrs. Ann Boomer, NNP practice?
The practice location is Nicu Professional Services Emmc, 489 State Street, Bangor, ME 04401-0404. The office can be reached at 207-973-8670 (phone) or 207-973-5163 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245267335 directly on the NPPES registry website.