Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. DIANE JEANNE BOOMGAARDEN/SAAR, RN
ActiveChild & Adolescent Psychiatric Nurse · BEMIDJI, MN
Registration Details
- NPI Number
- 1073783965
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 6, 2008 (18.166669006492 yrs)
- Last Updated
- Apr 15, 2008
- License
-
R114618-3 (MN)
Practice Information
- Address
-
1526 30TH ST NWBEMIDJI, MN, 566014133Browse MN providers · Browse ZIP 56601
- Phone
- 2187513280
- Fax
- 2187513298
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.