Individual provider · Type 1 NPI
Theresa Louise Boogaard, NP
Neonatal Nurse Practitioner · Coon Rapids, MN
NPI number
1366403420
Active
Practice location
4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Mailing address
PO Box 43, Mr 10809
Minneapolis, MN 55440-0043
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | RN057338 (AZ) |
| Neonatal Nurse Practitioner Primary | 363LN0000X | R162764-4 (MN) |
Neonatal Nurse Practitioner: Definition to come...
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About NPI 1366403420
Theresa Louise Boogaard, NP's National Provider Identifier is 1366403420, issued on Mar 29, 2006. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Coon Rapids, MN. The record was last updated on Sep 29, 2009.