Nicole P Bomar, RD is a
Dietitian, Registered based in Slater, Missouri. Nicole P Bomar is licensed to practice in Missouri (license number 2020020010) and her current practice location is
515 Rich St, Slater, Missouri. She can be reached at her office (for appointments etc.) via phone at
(660) 631-3598.
NPI number for Nicole P Bomar is 1053920025 and her current mailing address is 515 Rich St, Slater, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053920025.
Healthcare Provider's Profile
Full Name | Nicole P Bomar |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 515 Rich St, Slater, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053920025
- Provider Enumeration Date: 07/27/2020
- Last Update Date: 12/02/2022
Medical Identifiers
Medical identifiers for Nicole P Bomar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053920025 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 2020020010 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole P Bomar is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nicole P Bomar, RD 515 Rich St, Slater, MO 65349-1251 Ph: (660) 631-3598 | Nicole P Bomar, RD 515 Rich St, Slater, MO 65349-1251 Ph: (660) 631-3598 |
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