Individual
LOUANN K BOSMANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-6369
(612) 904-4341
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-6005
(612) 630-8242
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0318992-21
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-03686
MEDICA
MN
05
—
264527100
—
MN
01
—
40D75KO
BLUE CROSS BLUE SHIELD
MN
01
—
500021079
MEDICARE RAILROAD
MN
Enumeration date
10/04/2006
Last updated
11/27/2007
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