Boleyn, Sara

Boleyn, Sara is an individual health care provider with primary practice located at 251 County Road 120 , Saint Cloud MN 56303-4872. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Boleyn, Sara can be contacted via phone (320) 202-8949.

Contact Information

Primary practice address
251 County Road 120 Saint Cloud MN 56303-4872
Phone: (320) 202-8949
Fax: (320) 202-0756
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X R1365870 Minnesota

Profile Details

NPI number 1396773537
LBN Legal business name Boleyn, Sara
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Feb 17th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396773537 NPPES
Minnesota MEDICAID 701104100

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