Individual
DR. ALISSA BOEKHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6452 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3245
(952) 999-0333
Mailing address
5801 157TH LN NW, RAMSEY, MN 55303-5943
(319) 541-1521
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
236323-7
MN
363LF0000X
Family Nurse Practitioner
Primary
9504
MN
Other
Enumeration date
07/19/2022
Last updated
09/06/2022
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