Individual
SAMANTHA JO BOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
235 8TH AVE W, CRESCO, IA 52136-1062
(563) 547-2101
(563) 547-3448
Mailing address
235 8TH AVE W, CRESCO, IA 52136-1062
(563) 547-2101
(563) 547-3448
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2830
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/07/2022
Last updated
04/13/2026
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