| Sophia Marie Bottema, CRNA | |
|
404 W Fountain St, Albert Lea, MN 56007-2406 | |
| (507) 373-2384 | |
| Not Available |
| Full Name | Sophia Marie Bottema |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 404 W Fountain St, Albert Lea, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770308660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 3135 (Minnesota) | Primary |
| Entity Name | Mayo Clinic Health System-southeast Minnesota Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891701637 PECOS PAC ID: 4385556703 Enrollment ID: O20031104000408 |
| Mailing Address | Practice Location Address |
|---|---|
| Sophia Marie Bottema, CRNA Po Box 860912, Minneapolis, MN 55486-0912 Ph: (507) 284-2511 | Sophia Marie Bottema, CRNA 404 W Fountain St, Albert Lea, MN 56007-2406 Ph: (507) 373-2384 |
Mary Ann Grayden, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 404 W Fountain St, Albert Lea, MN 56007 Phone: 507-373-2384 | |
Mariah Kelly, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 404 W Fountain St, Albert Lea, MN 56007 Phone: 507-373-2384 | |
Harry Doyle Robison, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 404 W Fountain St, Albert Lea, MN 56007 Phone: 507-373-2384 | |
Alice Ann Schrad, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 404 W Fountain St, Albert Lea, MN 56007 Phone: 507-373-2384 | |
Judith L Myers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 404 W Fountain St, Albert Lea, MN 56007 Phone: 507-373-2384 | |
Richard Allen Buringa, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 404 W Fountain St, Albert Lea, MN 56007 Phone: 507-373-2384 |