Individual
LEANN VAN DEN BOSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
51 E 4TH ST, SUITE 405, WINONA, MN 55987-3507
(507) 454-3680
Mailing address
216 E 7TH ST, WINONA, MN 55987-5568
(507) 450-3422
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R1302053
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
610022800
—
MN
Enumeration date
08/23/2006
Last updated
10/01/2010
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