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Mr. Edmund A Bouley, CNS
Psychiatric/Mental Health Clinical Nurse Specialist in Fairmont, Minnesota
NPI 1831286731

Edmund A Bouley is a Psychiatric/Mental Health Clinical Nurse Specialist based in Fairmont, MN and is specialized in Psychiatric/Mental Health. Edmund A Bouley practices in Fairmont, MN and has the professional credentials of CNS. The NPI Number for Edmund A Bouley is 1831286731 and holds a License No. 723743 (Minnesota).

The current practice location address for Edmund A Bouley is 1420 N State St, Fairmont, MN and can be reached out via phone at 320-219-7518. You can also correspond with Edmund A Bouley through the mailing address at 1420 N STATE ST, FAIRMONT, MN - 56031-3619 (mailing address contact number: 320-219-7518).

Location: 1420 N State St, Fairmont, MN, 56031-3619
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Provider Profile Details
NPI Number
1831286731
Provider Name
Edmund A Bouley
Credential
CNS
Provider Entity Type
Individual
Gender
Male
Address
1420 N State St, Fairmont, MN, 56031-3619
Phone Number
320-219-7518
Fax Number
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
723743 01 TX NURSING LICENSE
R178506-5 01 MN CLINICAL NURSE SPECIALIST
institution
Provider Business Practice Location Address Details
Address
1420 N State St
City
State
Zip
56031-3619
Phone Number
320-219-7518
Fax Number
person
Provider Business Mailing Address Details
Address
1420 N State St
City
State
Zip
56031-3619
Phone Number
320-219-7518
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
723743 (Texas)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
723743 (Texas)
Definition
Definition to come...
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