Miranda Lynn Boehm, APRN,CRNA | |
523 N 3rd St, Brainerd, MN 56401-3054 | |
(218) 829-2861 | |
Not Available |
Full Name | Miranda Lynn Boehm |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 523 N 3rd St, Brainerd, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1235869942 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 2733 (Minnesota) | Primary |
Entity Name | Centracare Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
Entity Name | St Josephs Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568415974 PECOS PAC ID: 8224948443 Enrollment ID: O20031119000468 |
Mailing Address | Practice Location Address |
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Miranda Lynn Boehm, APRN,CRNA 400 E 3rd St, Duluth, MN 55805-1951 Ph: () - | Miranda Lynn Boehm, APRN,CRNA 523 N 3rd St, Brainerd, MN 56401-3054 Ph: (218) 829-2861 |
Matthew Gary Mohrenweiser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 523 N 3rd St, Brainerd, MN 56401 Phone: 218-829-2861 | |
Eugene Bernard Ristow, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 523 N 3rd St, Brainerd, MN 56401 Phone: 218-829-2861 | |
Ms. Lori J. Brown, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 523 N 3rd St, Brainerd, MN 56401 Phone: 218-829-2861 | |
Lawrance C Merck, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 523 N 3rd St, Brainerd, MN 56401 Phone: 218-828-2861 | |
Jesse Alan Lind, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 523 N 3rd St, Brainerd, MN 56401 Phone: 218-829-2861 | |
Timothy Peter Klemmetsen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 523 N 3rd St, Brainerd, MN 56401 Phone: 218-829-2861 |