Individual
MRS. TERESA LYNN BOSACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
478 2ND ST, EXCELSIOR, MN 55331-1987
(952) 474-3251
(952) 474-0315
Mailing address
1946 WATERFORD LN, CHASKA, MN 55318-2855
(952) 239-4645
(952) 474-0315
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 093070-1
MN
363LW0102X
Women's Health Nurse Practitioner
—
MN
Other
Enumeration date
01/30/2007
Last updated
09/11/2025
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