- Practice location
- 489 State St, Bangor, ME 04401-6616
- Phone
- 207-973-7000
- Fax
- —
- Last updated
- October 20, 2025
Lisa Marie Boma is a Nurse Practitioner, Acute Care based in Bangor, ME. Lisa Marie Boma practices in Bangor, ME and has the professional credentials of NP. The NPI Number for Lisa Marie Boma is 1619761343 and holds a License No. CNP251188 (ME). The current practice location address for Lisa Marie Boma is 489 State St, Bangor, ME 04401-6616 and can be reached out via phone at 207-973-7000.
Provider Profile Details
- NPI Number
- 1619761343
- Provider Name
- Lisa Marie Boma
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 489 State St, Bangor, ME 04401-6616
- Phone Number
- 207-973-7000
- Primary Taxonomy
- Nurse Practitioner, Acute Care · 363LA2100X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 7, 2025
- Last Update Date
- October 20, 2025
- Certification Date
- October 20, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 489 State St
Bangor, ME 04401-6616 - City
- Bangor
- State
- Maine
- Zip
- 04401-6616
- Phone Number
- 207-973-7000
Provider Business Mailing Address Details
- Address
- 1259 Albair RD
Caribou, ME 04736-3999 - City
- Caribou
- State
- ME
- Zip
- 04736-3999
- Phone Number
- 207-551-9966
License Information
- License Number
- CNP251188
- License State
- ME
- Taxonomy
- Nurse Practitioner, Acute Care · 363LA2100X · 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 Lisa M Boma, NP?
The NPI number of Lisa M Boma, NP is 1619761343. It was assigned on April 7, 2025 and is currently active in the NPPES registry.
What is the specialty of Lisa M Boma, NP?
Lisa M Boma, NP is registered under the primary taxonomy Nurse Practitioner, Acute Care (code 363LA2100X), licensed in ME under license number CNP251188.
Where does Lisa M Boma, NP practice?
The practice location is 489 State St, Bangor, ME 04401-6616. The office can be reached at 207-973-7000 (phone).
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 1619761343 directly on the NPPES registry website.