Mr Edmund A Bouley, CNS is a
Clinical Nurse Specialist - Psychiatric/mental Health based in Fairmont, Minnesota. Mr Edmund A Bouley is licensed to practice in Minnesota (license number R178506-5) and his current practice location is
1420 N State St, Fairmont, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(320) 219-7518.
NPI number for Mr Edmund A Bouley is 1831286731 and his current mailing address is 1420 N State St, Fairmont, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831286731.
Provider's Profile
| Full Name | Mr Edmund A Bouley |
|---|
| Gender | Male |
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| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
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| Location | 1420 N State St, Fairmont, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1831286731
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 06/14/2012
Medical Identifiers
Medical identifiers for Mr Edmund A Bouley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831286731 | NPI | - | NPPES |
| 723743 | Other | TX | NURSING LICENSE |
| R178506-5 | Other | MN | CLINICAL NURSE SPECIALIST |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 723743 (Texas) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 723743 (Texas) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | R178506-5 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Edmund A Bouley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Edmund A Bouley, CNS
1420 N State St,
Fairmont, MN 56031-3619
Ph: (320) 219-7518 | Mr Edmund A Bouley, CNS
1420 N State St,
Fairmont, MN 56031-3619
Ph: (320) 219-7518 |
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