LAURA H. BOMAN CRNP NPI 1972718187

NPI Information

NPI: 1972718187
Provider Name: LAURA H. BOMAN, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
2023 NORMANDIE DR
MONTGOMERY, AL
ZIP 36111
Phone: (334) 284-4253
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LAURA H. BOMAN, CRNP is a family nurse practitioner in Montgomery, AL. LAURA H. BOMAN, CRNP NPI is 1972718187. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2023 NORMANDIE DR
MONTGOMERY, AL
ZIP 36111-711
Phone: (334) 284-4253

The provider's authorized official is Diane L Chesnutt .
The authorized official title is Bookkeeper and has the following contact phone number (334) 281-6363.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 12/18/2007.

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
1	363LF0000X	Nurse Practitioner	Family	1-041326	ALABAMA	No
2	363LF0000X	Nurse Practitioner	Family	201793	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	S61632	MEDICARE UPIN	ALABAMA
2	B0051506240	MEDICAID	ALABAMA
3	7000969	MEDICAID	NORTH CAROLINA
4	2809812	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA

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: 4/28/2024

NPI Synchronization or Removal

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