Elizabeth Boman, is a
Nurse Practitioner - Psychiatric/mental Health based in Cherryland, California. Elizabeth Boman is licensed to practice in California (license number 95039796) and her current practice location is
21297 Foothill Blvd Ste 203, Cherryland, California. She can be reached at her office (for appointments etc.) via phone at
(510) 317-1444.
NPI number for Elizabeth Boman is 1649783135 and her current mailing address is 21297 Foothill Blvd Ste 203, Cherryland, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649783135.
Provider's Profile
| Full Name | Elizabeth Boman |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
|---|
| Location | 21297 Foothill Blvd Ste 203, Cherryland, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649783135
- Provider Enumeration Date: 11/07/2017
- Last Update Date: 06/09/2026
Medical Identifiers
Medical identifiers for Elizabeth Boman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1649783135 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95039796 (California) | Primary |
| 163WP0807X | Registered Nurse - Psychiatric/mental Health, Child & Adolescent | 95131322 (California) | Secondary |
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. Elizabeth Boman 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 |
Elizabeth Boman, 21297 Foothill Blvd Ste 203, Cherryland, CA 94541-1554 Ph: (415) 636-9700 | Elizabeth Boman, 21297 Foothill Blvd Ste 203, Cherryland, CA 94541-1554 Ph: (510) 317-1444 |
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