Provider Demographics
NPI:1407732381
Name:BOMAN, CHEROKEE DAWN (NP)
Entity type:Individual
Prefix:
First Name:CHEROKEE
Middle Name:DAWN
Last Name:BOMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CHEROKEE
Other - Middle Name:DAWN
Other - Last Name:HAYES-DYKSTRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:21628 47TH ST SE
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98290-7426
Mailing Address - Country:US
Mailing Address - Phone:206-669-2445
Mailing Address - Fax:
Practice Address - Street 1:21628 47TH ST SE
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-7426
Practice Address - Country:US
Practice Address - Phone:206-669-2445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAARNP.AP.70032649-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily