IndividualActive
Bonita Perrine, NURSE PRACTITIONER
NPI 1689298309 · Pediatric Nurse Practitioner · Minneapolis, MN
Provider details
- NPI number
- 1689298309
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- Sole proprietor
- Yes
- License
- 61185124 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Nursing Service Providers
Practice location
2525 Chicago Ave
Minneapolis, MN 55404-4518
Phone: (612) 813-6000
Approximate (ZIP-level) locationGet directions
Mailing address
2525 Chicago Ave
Minneapolis, MN 55404-4518
Registry dates
- Enumerated
- 2020-05-29
- Last updated
- 2025-08-08
- Certified
- 2025-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.