Individual
MIRANDA LYNN BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,CRNA
Contact information
Practice address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 829-2861
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2733
MN
Other
Enumeration date
06/15/2022
Last updated
04/30/2024
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