Individual
MRS. MINDY RENAE BOSANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP- BC
Contact information
Practice address
211 S 23RD ST, PLATTSMOUTH, NE 68048-2903
(402) 296-5100
Mailing address
11919 CYDNEY LN, BLAIR, NE 68008-6363
(402) 871-8973
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111295
NE
Other
Enumeration date
10/28/2011
Last updated
06/22/2012
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