person
Cassidy Boma
Family Nurse Practitioner in Champaign, Illinois
NPI 1770281610

Cassidy Boma is a Family Nurse Practitioner based in Champaign, IL and is specialized in Family. Cassidy Boma practices in Champaign, IL. The NPI Number for Cassidy Boma is 1770281610 and holds a License No. 209026208 (Illinois).

The current practice location address for Cassidy Boma is 2109 S Neil St, Champaign, IL and can be reached out via phone at 217-693-4400. You can also correspond with Cassidy Boma through the mailing address at 2109 S NEIL ST, CHAMPAIGN, IL - 61820-7266 (mailing address contact number: ).

Location: 2109 S Neil St, Champaign, IL, 61820-7266
person
Provider Profile Details
NPI Number
1770281610
Provider Name
Cassidy Boma
Credential
Provider Entity Type
Individual
Gender
Female
Address
2109 S Neil St, Champaign, IL, 61820-7266
Phone Number
217-693-4400
Fax Number
Provider Enumeration Date
02/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2109 S Neil St
City
State
Zip
61820-7266
Phone Number
217-693-4400
Fax Number
person
Provider Business Mailing Address Details
Address
2109 S Neil St
City
State
Zip
61820-7266
Phone Number
217-693-4400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209026208 (Illinois)
Definition
Definition to come...
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