Individual provider · NPI-1

Abigale Boerger, RN

Registered Nurse · Saint Cloud, MN

NPI number1467289330
StatusActive
Last updated in NPPESAug 11, 2025

Details

NPI
1467289330
Entity type
Individual (NPI-1)
Name
Abigale Boerger
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Sep 16, 2024
Certification date
Aug 11, 2025
Last updated
Aug 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse2206721MNYes
163WG0000X Registered Nurse, General Practice2206721MN

Practice location

4801 Veterans Dr
Saint Cloud, MN 56303-2015

Phone 320-252-1670

Mailing address

4801 Veterans Dr
Saint Cloud, MN 56303-2015

Phone 320-252-1670

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