Individual
STEPHANIE BOYSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1151 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-6324
(612) 706-4500
Mailing address
615 NELSON DR, CLEARWATER, MN 55320
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
131646
IA
163W00000X
Registered Nurse
2171296
MN
363LF0000X
Family Nurse Practitioner
Primary
5182
MN
Other
Enumeration date
08/21/2017
Last updated
11/14/2019
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