Individual provider · Type 1 NPI

Katrina Marie Boden, CNP

Nurse Practitioner · Grand Rapids, MN

NPI number 1336020882 Active

Practice location

1601 Golf Course Rd
Grand Rapids, MN 55744-8648

Mailing address

21045 S Moose Point Rd
Grand Rapids, MN 55744-4923

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X13346 (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1336020882

Katrina Marie Boden, CNP's National Provider Identifier is 1336020882, issued on Sep 10, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grand Rapids, MN. The record was last updated on Sep 10, 2025.