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

Individual provider Neonatal-Perinatal Medicine Physician · NPI 1245267335

Mrs. Ann Boomer, NNP is a Neonatal-Perinatal Medicine Physician in Bangor, Maine. Works from 2 locations. Licensed in Maine.

Licensed in
ME
In the registry since
2006
Specialties on file
3
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Practice location Partly verified

Some contact details are missing from the federal record.

NICU Professional Services Emmc 489 State St
Bangor, ME 04401-0404
Phone: (207) 973-8670
Fax: (207) 973-5163
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Additional practice locations (1)

  • Nicu Professional Services Emmc, Bangor, ME 04401-0404 — (207) 973-8670

Specialties & licences

Neonatal Nurse Practitioner (primary) Taxonomy 363LN0000X · Licence CNP81620 (ME)
Neonatal-Perinatal Medicine Physician Taxonomy 2080N0001X · Licence R048086 (ME)
Neonatal-Perinatal Medicine Physician Taxonomy 2080N0001X · Licence CNP81620 (ME)

Record details

NPI number1245267335
Entity typeIndividual (Type 1)
GenderFemale
Credentials NNP
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

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