Individual
KRISTINA ANN BOHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4155 COUNTY ROAD 101 N, PLYMOUTH, MN 55446-2307
(952) 993-8900
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2081
MN
363LF0000X
Family Nurse Practitioner
R182757-0
MN
Other
Enumeration date
07/24/2012
Last updated
08/09/2024
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