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

Bonita Perrine, NURSEPRACTITIONER

Individual provider Registered Nurse · NPI 1689298309

Bonita Perrine, NURSEPRACTITIONER is a Nurse Practitioner in Minneapolis, Minnesota. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Minnesota and Washington.

Years since qualifying
5
Licensed in
MN, WA
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

2525 Chicago Ave
Minneapolis, MN 55404-4518
Phone: (612) 813-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 61206206 (WA)
Registered Nurse Taxonomy 163W00000X · Licence 61185124 (WA)
Pediatric Registered Nurse Taxonomy 163WP0200X · Licence 2458932 (MN)

Record details

NPI number1689298309
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedMay 29, 2020
Last updated in NPPESAugust 8, 2025
Certification dateAugust 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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