Individual
BOBBI JO HAAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Mailing address
29540 MINNESOTA HIGHWAY 4, GROVE CITY, MN 56243-4403
(320) 434-0209
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
2462058
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01971529
—
MN
Enumeration date
10/19/2018
Last updated
10/19/2018
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