person
Kelly Ann Boie, PPCNP-BC
Pediatric Nurse Practitioner in Minnetonka, Minnesota
NPI 1063485514

Kelly Ann Boie is a Pediatric Nurse Practitioner based in Minnetonka, MN and is specialized in Pediatrics. Kelly Ann Boie practices in Minnetonka, MN and has the professional credentials of PPCNP-BC. The NPI Number for Kelly Ann Boie is 1063485514 and holds a License No. R1121373 (Minnesota).

The current practice location address for Kelly Ann Boie is 14001 Ridgedale Dr, Ste 100, Minnetonka, MN and can be reached out via phone at 952-473-0211 and via fax at 952-473-7908.

Location: 14001 Ridgedale Dr, Ste 100, Minnetonka, MN, 55305-1781
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Provider Profile Details
NPI Number
1063485514
Provider Name
Kelly Ann Boie
Credential
PPCNP-BC
Provider Entity Type
Individual
Gender
Female
Address
14001 Ridgedale Dr, Ste 100, Minnetonka, MN, 55305-1781
Phone Number
952-473-0211
Fax Number
952-473-7908
Provider Enumeration Date
02/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
731306300 05 MN
institution
Provider Business Practice Location Address Details
Address
14001 Ridgedale Dr, Ste 100
City
State
Zip
55305-1781
Phone Number
952-473-0211
Fax Number
952-473-7908
person
Provider Business Mailing Address Details
Address
14001 Ridgedale Dr, Ste 100
City
State
Zip
55305-1781
Phone Number
952-473-0211
Fax Number
952-473-7908
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
License No.
CNP0812 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
R1121373 (Minnesota)
Definition
Definition to come...
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