Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blake John Bostrom

Individual provider Registered Nurse · NPI 1033061403

Blake John Bostrom is a Registered Nurse in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2026.

Licensed in
MN
In the registry since
2026

Practice location Address checks out

1 Veterans Dr
Minneapolis, MN 55417-2309
Phone: (612) 725-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 2457863 (MN)

Record details

NPI number1033061403
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 10, 2026
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026
Mailing address468 Rowena Curv, Elko New Market, MN 55054-4710

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