Provider Demographics
NPI:1255991576
Name:BOHNEN, ANNA MARIA (RN)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIA
Last Name:BOHNEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6448 151ST STREET CIR N
Mailing Address - Street 2:
Mailing Address - City:HUGO
Mailing Address - State:MN
Mailing Address - Zip Code:55038-8495
Mailing Address - Country:US
Mailing Address - Phone:651-214-8889
Mailing Address - Fax:
Practice Address - Street 1:433 S 7TH ST APT 1923
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55415-1642
Practice Address - Country:US
Practice Address - Phone:651-214-8889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-18
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2139898163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health