Lookup NPI Numbers from the NPI Registry
NPI Profile for Dr ALISSA BOEKHOUT in EDEN PRAIRIE, MN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Registered Nurse |
163W00000X |
| NPI # | 1639804214 |
|
| Status | Active | |
| Credentials | NP (Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 07/19/2022 | |
| Last updated | 09/06/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ALISSA BOEKHOUT
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ALISSA BOEKHOUT, NP