DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRENDA ANN BOSAAEN

Active Sole Proprietor

Adult Mental Health Clinic · MORA, MN

Registration Details

NPI Number
1215492426
Provider Type
Individual
Gender
Female
NPI Issued
Feb 1, 2019 (7.2174357591651 yrs)
Last Updated
Feb 1, 2019
Sole Proprietor
Yes

Practice Information

Address
2884 W RIVER RD
MORA, MN, 550516211
Browse MN providers · Browse ZIP 55051
Phone
3206790511
Primary Specialty
Adult Mental Health Clinic
261QM0850X
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.