Individual
TABITHA NYABOKE BOSIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2150 HOSPITAL DR, WINDOM, MN 56101-1287
(507) 831-2400
(507) 847-1119
Mailing address
2150 HOSPITAL DR, WINDOM, MN 56101-1287
(507) 831-2400
(507) 847-1119
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2020019972
MO
363LF0000X
Family Nurse Practitioner
5379573-072
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11296
MN
Other
Enumeration date
11/27/2019
Last updated
11/05/2024
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