Individual provider · Type 1 NPI
Kathleen June Bousu, RN IBCLC
Lactation Consultant (Registered Nurse) · Spring Lake Park, MN
NPI number
1467117200
Active
Practice location
7909 Quincy St NE
Spring Lake Park, MN 55432-1974
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lactation Consultant (Registered Nurse) Primary | 163WL0100X | 1180068 (MN) |
Lactation Consultant (Registered Nurse): Definition to come...
About NPI 1467117200
Kathleen June Bousu, RN IBCLC's National Provider Identifier is 1467117200, issued on Nov 6, 2021. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Spring Lake Park, MN. The record was last updated on Nov 6, 2021.