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

Kelly Ann Boie, PPCNP-BC

Individual provider Pediatric Registered Nurse · NPI 1063485514

Kelly Ann Boie, PPCNP-BC is a Pediatric Registered Nurse in Minnetonka, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
2

Practice location Address checks out

14001 Ridgedale Dr Ste 100
Minnetonka, MN 55305-1781
Phone: (952) 473-0211
Fax: (952) 473-7908
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence CNP0812 (MN)
Pediatric Registered Nurse Taxonomy 163WP0200X · Licence R1121373 (MN)

Record details

NPI number1063485514
Entity typeIndividual (Type 1)
GenderFemale
Credentials PPCNP-BC
Sole proprietorNo
NPI enumeratedFebruary 7, 2006
Last updated in NPPESMay 3, 2016

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