Individual provider · Type 1 NPI

Courtney Ann Bothun, FNP-C

Family Nurse Practitioner · St. Paul, MN

NPI number 1700515582 Active

Practice location

1021 Bandana Blvd E Ste 100
St. Paul, MN 55108-5109

Fax (651) 241-9683

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Other practice locations

  • 101 Willmar Ave SW, Willmar, MN 56201-3556 · (320) 231-5000

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X9216 (MN)

Family Nurse Practitioner: Definition to come...

51 other providers at this address

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About NPI 1700515582

Courtney Ann Bothun, FNP-C's National Provider Identifier is 1700515582, issued on Jun 7, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Paul, MN. The record was last updated on Apr 22, 2024.