Individual
CRYSTAL M BOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
507 W DOUGHTY ST, LAKE CITY, MN 55041-1500
(651) 345-2350
Mailing address
507 W DOUGHTY ST, LAKE CITY, MN 55041-1500
(651) 345-2350
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R165420-6
MN
363L00000X
Nurse Practitioner
Primary
2005
MN
Other
Enumeration date
05/19/2009
Last updated
08/06/2024
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