Linda Mae Boom, RN
Registered Nurse in Minneapolis, MN. Individual provider (NPI-1).
NPI number1003760554
StatusActive
Last updated in NPPESFeb 23, 2026
Details
- NPI
- 1003760554
- Entity type
- Individual (NPI-1)
- Name
- Linda Mae Boom
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 23, 2026
- Certification date
- Feb 23, 2026
- Last updated
- Feb 23, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | R-120377-0 | MN | Yes |
Practice location
1 Veterans DrMinneapolis, MN 55417-2309
Phone 612-629-7559
Mailing address
1 Veterans DrMinneapolis, MN 55417-2309
Phone 612-629-7559
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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