Individual provider · Type 1 NPI

Courtney Ann Bohnert, PA-C, RD, LD

Physician Assistant · Cape Girardeau, MO

NPI number 1093639015 Active

Practice location

24 S Mount Auburn Rd
Cape Girardeau, MO 63703-4914

Call (573) 331-5544 Map

Fax (573) 331-5545

Mailing address

PO Box 801143
Kansas City, MO 64180-1143

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian 133V00000X2022016526 (MO)
Physician Assistant Primary 363A00000X2026046134 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1093639015

Courtney Ann Bohnert, PA-C, RD, LD's National Provider Identifier is 1093639015, issued on Aug 5, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Cape Girardeau, MO. The record was last updated on Oct 8, 2026.