Individual
ALICIA BOENISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, DNAP
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 386-6000
Mailing address
1220 CENTER ST W, ROCHESTER, MN 55902-0306
(507) 269-0137
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
124036
MN
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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