Whalio Doctors

NPI 1013954601

Marilee Green Bomar, MSN

Practitioner Gerontology Clinical Nurse Specialist Columbia, MO

Practice location

Address
551 E Southampton Dr, Columbia, MO 65201-4236
Phone
(573) 884-7733
Fax
(573) 882-6228
Mailing address
PO Box 843966, Kansas City, MO 64184-3966

Registered specialties (2)

Gerontology Clinical Nurse Specialist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SG0600X Licence 128845 (MO)
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 128845 (MO)

Registry record

NPI
1013954601
Entity type
Individual
Sex (as registered)
Female
NPI issued
1 Jun 2006
Record last updated
3 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.