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

KATHLEEN JUNE BOUSU, RN IBCLC

Active

KATHLEEN JUNE BOUSU, RN IBCLC is a Lactation Consultant Nurse healthcare provider located in SPRING LAKE PARK, Minnesota. NPI 1467117200 is currently active in the NPPES registry. Verify at CMS.

Lactation Consultant Nurse · SPRING LAKE PARK, MN

Registration Details

NPI Number
1467117200
Provider Type
Individual
Gender
Female
NPI Issued
Nov 6, 2021 (4.7345532126045 yrs)
Last Updated
Nov 6, 2021
License
1180068 (MN)

Practice Information

Address
7909 QUINCY ST NE
SPRING LAKE PARK, MN, 554321974
Browse MN providers · Browse ZIP 55432
Phone
7633421752
Primary Specialty
Lactation Consultant Nurse
163WL0100X
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.