Individual
MIRANDA MARIE BEMBOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1680
Mailing address
11112 60TH ST NE, FOLEY, MN 56329-4552
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2459726
MN
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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