Individual
MRS. DAWN MARIE BOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, ARNP, FNP,PMHNP
Contact information
Practice address
101 21ST ST SE STE 1, AUSTIN, MN 55912-4322
(507) 437-6389
(507) 337-2926
Mailing address
101 21ST ST SE STE 1, AUSTIN, MN 55912-4322
(507) 437-6389
(507) 437-0977
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3687
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R127266-2
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015368
PREFERRED ONE
MN
01
—
124524
UCARE
MN
01
—
1338
AVERA HEALTH PLANS
MN
01
—
145L6VA
BLUE CROSS BLUE SHIELD
MN
01
—
2500762/1775927
UNITED HEALTHCARE
MN
01
—
3687
CERTIFIED NURSE PRACTITIONER LICENSE
MN
01
—
39293
SIOUX VALLEY HEALTH
MN
05
—
480633600
—
MN
01
—
62-98957
MEDICA
MN
01
—
HP24888
HEALTH PARTNERS
MN
01
—
P00054553
RR MEDICARE
MN
Enumeration date
08/13/2006
Last updated
07/26/2021
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