SANDRA L BOOMER FNP
NPI 1811966252
Nurse Practitioner - Family in Muskegon, MI

Active since March 17, 2006
3535 PARK ST, SUITE 110, MUSKEGON, MI 49444(231) 733-3155(231) 737-1535 Get Directions Write a Review

NPPES record last updated: February 7, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandra L Boomer Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA L BOOMER FNP (NPI 1811966252) is an individual family provider in Muskegon, Michigan, licensed in Michigan (4704110400) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1811966252
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSANDRA L BOOMERCredential: FNP
Location Address3535 PARK ST, SUITE 110Muskegon, MI 49444-3736
Mailing AddressPo Box 1848Muskegon, MI 49443-1848 · (231) 727-4444 · Fax (231) 727-4451
Fax(231) 737-1535
Sole ProprietorNo
Enumeration DateMarch 17, 2006
Last NPPES UpdateFebruary 7, 2011
NPI 1811966252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704110400
3535 PARK ST, Muskegon, MI 49444

Other Identifiers 1

Medicare UPINQ38436MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
3535 PARK ST, SUITE 101
NORTON SHORES, MI 49444
Pediatrics
3535 PARK ST, SUITE 101
MUSKEGON, MI 49444
Audiologist-Hearing Aid Fitter
3535 PARK ST, STE 108
MUSKEGON, MI 49444
Pediatrics
3535 PARK ST, SUITE 101
MUSKEGON, MI 49444
Hearing Instrument Specialist
3535 PARK ST, STE 108
MUSKEGON HEIGHTS, MI 49444
Audiologist-Hearing Aid Fitter
3535 PARK ST, STE 106
NORTON SHORES, MI 49444
Family Medicine
3535 PARK ST, SUITE 110
MUSKEGON, MI 49444
Nurse Practitioner (Family)
3535 PARK ST, SUITE 110
MUSKEGON, MI 49444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Boomer's NPI number?

The NPI number for Sandra Boomer is 1811966252. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Sandra Boomer located?

Sandra Boomer practices at 3535 Park St Suite 110, Muskegon, MI 49444. The listed phone number is (231) 733-3155.

What is Sandra Boomer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Sandra Boomer was last updated on February 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.