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Contact Information

TERESA L BOSACKER, NP
478 2ND ST
EXCELSIOR, MN55331-1987
 Phone: 952-474-3251
 Fax: 952-474-0315
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TERESA L BOSACKER · (Female)

NPI Number 1447396940
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 01/30/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • MN License # R 093070-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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