Individual
LEANN VAN DEN BOSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
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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