NPI 1770822330 · live from the CMS NPI Registry
Kristi Michelle Bohlig, PA-C
Physician Assistant in Sartell, MN. National Provider Identifier 1770822330, active.
NPI record
| NPI | 1770822330 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1990 Connecticut Ave S Ste 100, Sartell, MN 56377 |
| Practice phone | 202-575-5953 |
| Enumerated | February 1, 2013 |
| Last updated | August 2, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | 923 (ND) |
| Physician Assistant primary | 363A00000X | 13049 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.