Provider Demographics
NPI:1356637706
Name:BOHN, SARAH JEAN (CNM)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JEAN
Last Name:BOHN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 E SARNIA ST STE 1600
Mailing Address - Street 2:
Mailing Address - City:WINONA
Mailing Address - State:MN
Mailing Address - Zip Code:55987-6413
Mailing Address - Country:US
Mailing Address - Phone:507-452-4307
Mailing Address - Fax:507-457-0564
Practice Address - Street 1:76 W 3RD ST
Practice Address - Street 2:
Practice Address - City:WINONA
Practice Address - State:MN
Practice Address - Zip Code:55987-3431
Practice Address - Country:US
Practice Address - Phone:507-452-4307
Practice Address - Fax:507-457-0564
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR202416-5367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife