IndividualActive
Marilee Bomar, MSN
NPI 1013954601 · Gerontology Clinical Nurse Specialist · Columbia, MO
Provider details
- NPI number
- 1013954601
- Entity type
- Individual
- Primary specialty
- Gerontology Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN
- Sex
- Female
- Sole proprietor
- No
- License
- 128845 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
551 E Southampton Dr
Columbia, MO 65201-4236
Phone: (573) 884-7733
Fax: (573) 882-6228
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 843966
Kansas City, MO 64184-3966
Registry dates
- Enumerated
- 2006-06-01
- Last updated
- 2019-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.