| Angela Suzanne Bothwell, | |
| 
					8990 Springbrook Dr Nw Ste 250, Coon Rapids, MN 55433-5884  | |
| (763) 398-1176 | |
| Not Available | 
| Full Name | Angela Suzanne Bothwell | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 8990 Springbrook Dr Nw Ste 250, Coon Rapids, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1649539743 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 089228 (Minnesota) | Primary | 
| Entity Name | Metropolitan Anesthesia Network Llp | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579  | 
| Entity Name | Mngi Digestive Health Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1609804541 PECOS PAC ID: 8123016557 Enrollment ID: O20040504001467  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Angela Suzanne Bothwell, 8990 Springbrook Dr Nw Ste 250, Coon Rapids, MN 55433-5884 Ph: (763) 398-1176  | Angela Suzanne Bothwell, 8990 Springbrook Dr Nw Ste 250, Coon Rapids, MN 55433-5884 Ph: (763) 398-1176  | 
Mark Retz,  Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Suite 250, Coon Rapids, MN 55433 Phone: 763-398-0124  | |
Michael D Thyen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124  | |
Cynthia J Martinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124  | |
Jeffrey Alan Leech Ii, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000  | |
Neil H Stock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124  | |
Kristina K Munyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124  | |
Scott M Peterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124  |