Kathleen June Bousu, RN IBCLC is a
Registered Nurse - Lactation Consultant based in Spring Lake Park, Minnesota. Kathleen June Bousu is licensed to practice in Minnesota (license number 1180068) and her current practice location is
7909 Quincy St Ne, Spring Lake Park, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(763) 342-1752.
NPI number for Kathleen June Bousu is 1467117200 and her current mailing address is 7909 Quincy St Ne, Spring Lake Park, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467117200.
Provider's Profile
Full Name | Kathleen June Bousu |
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Gender | Female |
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Speciality | Registered Nurse - Lactation Consultant |
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Location | 7909 Quincy St Ne, Spring Lake Park, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467117200
- Provider Enumeration Date: 11/06/2021
- Last Update Date: 11/06/2021
Medical Identifiers
Medical identifiers for Kathleen June Bousu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467117200 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WL0100X | Registered Nurse - Lactation Consultant | 1180068 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen June Bousu is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kathleen June Bousu, RN IBCLC 7909 Quincy St Ne, Spring Lake Park, MN 55432-1974 Ph: (763) 342-1752 | Kathleen June Bousu, RN IBCLC 7909 Quincy St Ne, Spring Lake Park, MN 55432-1974 Ph: (763) 342-1752 |
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