Individual
DIANE BOYENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2 ROUNDWIND RD, LUVERNE, MN 56156-1300
(507) 283-5066
(507) 283-5074
Mailing address
1924 41ST ST, ELLSWORTH, MN 56129-4085
(507) 283-5066
(507) 283-5074
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R 87680-7
MN
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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