Cassidy Boma
Cassidy Boma is a Family Nurse Practitioner in Champaign, Illinois. Licensed in Illinois. Registered with an NPI since 2023.
- Licensed in
- IL
- In the registry since
- 2023
Practice location Address checks out
2109 S Neil StChampaign, IL 61820-7266
Phone: (217) 693-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 209026208 (IL) |
|---|
Record details
| NPI number | 1770281610 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 20, 2023 |
| Last updated in NPPES | February 20, 2023 |
| Certification date | February 20, 2023 |
| Mailing address | 2109 S Neil St, Champaign, IL 61820-7266 |
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