Individual provider · Type 1 NPI

Sandra L. Boomer, FNP

Family Nurse Practitioner · Muskegon, MI

NPI number 1811966252 Active

Practice location

3535 Park St, Suite 110
Muskegon, MI 49444-3736

Fax (231) 737-1535

Mailing address

PO Box 1848
Muskegon, MI 49443-1848

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704110400 (MI)

Family Nurse Practitioner: Definition to come...

25 other providers at this address

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About NPI 1811966252

Sandra L. Boomer, FNP's National Provider Identifier is 1811966252, issued on Mar 17, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Muskegon, MI. The record was last updated on Feb 7, 2011.