Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE P BOMAR, RD
ActiveNICOLE P BOMAR, RD is a Registered Dietitian healthcare provider located in SLATER, Missouri. NPI 1053920025 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · SLATER, MO
Registration Details
- NPI Number
- 1053920025
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 27, 2020 (6.0068736850431 yrs)
- Last Updated
- Dec 2, 2022
- License
-
2020020010 (MO)
Practice Information
- Address
-
515 RICH STSLATER, MO, 653491251Browse MO providers · Browse ZIP 65349
- Phone
- 6606313598
- Primary Specialty
-
Registered Dietitian
133V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.