Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fawn Marie Boomershine

Individual provider Case Manager/Care Coordinator · NPI 1114743325

Fawn Marie Boomershine is a Case Manager/Care Coordinator in Tulsa, Oklahoma. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

5310 E 31st St
Tulsa, OK 74135-5012
Phone: (918) 744-4800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1114743325
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 3, 2024
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024

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