SABLE MARIE BOMBOY NPI 1548980774

NPI Information

  • NPI: 1548980774
  • Provider Name: SABLE MARIE BOMBOY
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 604 S WALNUT ST
    STILLWATER, OK
    ZIP 74074
  • Phone: (844) 458-2100

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NPI Details

Sable Marie Bomboy is a peer specialist in Stillwater, OK. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Sable Marie Bomboy NPI is 1548980774. The provider is registered as an individual entity type.

The provider's business location address is:

604 S WALNUT ST
STILLWATER, OK
ZIP 74074-222
Phone: (844) 458-2100

The enumeration date for this NPI number is 8/29/2022 and was last updated on 1/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer SpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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