Individual provider · Type 1 NPI

Marilee Green Bomar, MSN

Gerontology Clinical Nurse Specialist · Columbia, MO

NPI number 1013954601 Active

Practice location

551 E Southampton Dr
Columbia, MO 65201-4236

Fax (573) 882-6228

Mailing address

PO Box 843966
Kansas City, MO 64184-3966

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X128845 (MO)
Gerontology Clinical Nurse Specialist Primary 364SG0600X128845 (MO)

Gerontology Clinical Nurse Specialist: Definition to come...

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About NPI 1013954601

Marilee Green Bomar, MSN's National Provider Identifier is 1013954601, issued on Jun 1, 2006. The primary taxonomy on file is Gerontology Clinical Nurse Specialist (364SG0600X), and the practice location is in Columbia, MO. The record was last updated on May 3, 2019.