Individual
MRS. DANAE BOORSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, FNP-BC
Contact information
Practice address
308 4TH AVE NW, STE 4, AUSTIN, MN 55912
(507) 279-2345
Mailing address
106 LATHAM ST., BROWNSDALE, MN 55918
(507) 259-2345
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
273793
AZ
363LF0000X
Family Nurse Practitioner
Primary
11556
MN
363LF0000X
Family Nurse Practitioner
350609
NY
363LF0000X
Family Nurse Practitioner
95001127
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115566
NURSE PRACTITIONER LICENSE
MN
01
—
273793
NURSE PRACTITIONER LICENSE
AZ
01
—
350609
NURSE PRACTITIONER LICENSE
NY
01
—
95001127
NURSE PRACTITIONER LICENSE
CA
Enumeration date
08/18/2014
Last updated
10/13/2024
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