Individual
ANGELA SUZANNE BOTHWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8990 SPRINGBROOK DR NW STE 250, COON RAPIDS, MN 55433-5884
(763) 398-1176
Mailing address
8990 SPRINGBROOK DR NW STE 250, COON RAPIDS, MN 55433-5884
(763) 398-1176
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
089228
MN
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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