Individual
MRS. BONNIE RAE ENGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN/PHN
Contact information
Practice address
212 MAIN AVE N, BAGLEY, MN 56621-8313
(218) 694-6581
Mailing address
212 MAIN AVE N, BAGLEY, MN 56621-8313
(218) 694-6581
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R84658-1
MN
163WA2000X
Administrator Registered Nurse
R84658-1
MN
163WC0400X
Case Management Registered Nurse
R84658-1
MN
163WC1500X
Community Health Registered Nurse
5540
MN
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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