Stephanie Boysen
Nurse Practitioner, Family in New Brighton, MN. Individual provider (NPI-1).
NPI number1982120085
StatusActive
Last updated in NPPESNov 14, 2019
Details
- NPI
- 1982120085
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Boysen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2017
- Last updated
- Nov 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 5182 | MN | Yes |
| 163W00000X | Registered Nurse | 2171296 | MN | |
| 163W00000X | Registered Nurse | 131646 | IA |
Practice location
1151 Silver Lake Rd NwNew Brighton, MN 55112-6324
Phone 612-706-4500
Mailing address
615 Nelson DrClearwater, MN 55320
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