Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cassidy Boma

Individual provider Family Nurse Practitioner · NPI 1770281610

Cassidy Boma is a Family Nurse Practitioner in Champaign, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023

Practice location Address checks out

2109 S Neil St
Champaign, IL 61820-7266
Phone: (217) 693-4400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209026208 (IL)

Record details

NPI number1770281610
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 20, 2023
Last updated in NPPESFebruary 20, 2023
Certification dateFebruary 20, 2023

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