IndividualActive
Alexis Boll
NPI 1053282772 · Certified Registered Nurse Anesthetist · St Louis Park, MN
Provider details
- NPI number
- 1053282772
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 3236 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone: (952) 993-6016
Approximate (ZIP-level) locationGet directions
Mailing address
112242 Hutchins Ct
Chaska, MN 55318-1546
Registry dates
- Enumerated
- 2025-09-16
- Last updated
- 2025-10-20
- Certified
- 2025-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.