Deborah Ann Bomford, ARNP | |
22 Century Blvd Ste 200, Nashville, TN 37214-3702 | |
(877) 714-1370 | |
Not Available |
Full Name | Deborah Ann Bomford |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 22 Century Blvd Ste 200, Nashville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386931210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3006262 (Florida) | Primary |
Entity Name | Carelon Medical Partners, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124443403 PECOS PAC ID: 9931332111 Enrollment ID: O20160415001082 |
Mailing Address | Practice Location Address |
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Deborah Ann Bomford, ARNP 3791 Woods Walk Blvd, Lake Worth, FL 33467-2361 Ph: (561) 707-5767 | Deborah Ann Bomford, ARNP 22 Century Blvd Ste 200, Nashville, TN 37214-3702 Ph: (877) 714-1370 |
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