Search › North Dakota › 363A00000X
Annette Bothun, PA-C
NPI 1528583846 · on the registry since 2017
Practice
- Address
- 1451 44th Ave S Ste E
Grand Forks, ND 58201 - Phone
- (701) 787-5800
- Fax
- (701) 787-5802
- Organisation at this address
- Axis Clinic Pc
Agio Roba Inc.
Somnium Dme, Llc
Lit Enterprises Inc
William Noyes, Md PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 20
Additional practice sites
- 412 Main Ave Ne, Warroad, MN
- 711 Delmore Dr, Roseau, MN
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- ND, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota