| Doctor Name: | MRS. BONNIE RAE ENGEN |
| NPI Number: | 1548597008 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN/PHN |
| License Number: | R84658-1 |
| Business Practice Address: | 212 Main Ave N Bagley, MN - 566218313 |
| Business Phone Number: | 2186946581 |
| Business Fax Number: | |
| Mailing Address: | 212 Main Ave N, BAGLEY |
| State: | MN |
| Postal Code: | 566218313 |
| Phone Number: | 2186946581 |
| Fax Number: | |
| NPI Enumeration Date: | 11/04/2009 |
| NPI Last Update Date: | 11/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA2000X |
| License Number: | R84658-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Administrator |
| Taxonomy Definition: | |