IndividualActive
Edmund Bouley, CNS
NPI 1831286731 · Psychiatric/Mental Health Clinical Nurse Specialist · Fairmont, MN
Provider details
- NPI number
- 1831286731
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNS
- Sex
- Male
- Sole proprietor
- No
- License
- 723743 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1420 N State St
Fairmont, MN 56031-3619
Phone: (320) 219-7518
Approximate (ZIP-level) locationGet directions
Mailing address
1420 N State St
Fairmont, MN 56031-3619
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2012-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.