Boogaard, Theresa Louise

Boogaard, Theresa Louise is an individual health care provider with primary practice located at 4050 Coon Rapids Blvd Nw , Coon Rapids MN 55433-2522. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Boogaard, Theresa Louise can be contacted via phone (763) 236-6000.

Contact Information

Primary practice address
4050 Coon Rapids Blvd Nw Coon Rapids MN 55433-2522
Phone: (763) 236-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X RN057338 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X R162764-4 Minnesota

Profile Details

NPI number 1366403420
LBN Legal business name Boogaard, Theresa Louise
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Sep 29th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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