Individual provider · Type 1 NPI

Bonita Perrine, NURSE PRACTITIONER

Pediatric Nurse Practitioner · Minneapolis, MN

NPI number 1689298309 Active

Practice location

2525 Chicago Ave
Minneapolis, MN 55404-4518

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X61185124 (WA)
Pediatric Registered Nurse 163WP0200X2458932 (MN)
Pediatric Nurse Practitioner Primary 363LP0200X61206206 (WA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1689298309

Bonita Perrine, NURSE PRACTITIONER's National Provider Identifier is 1689298309, issued on May 29, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 8, 2025.