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Contact Information

JIMI L BOULET, NP
9900 BREN RD E
MINNETONKA, MN55343-9664
 Phone: 608-332-6905
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JIMI L BOULET · (Female)

NPI # 1902108376
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 11/17/2010
Last updated 09/25/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # 60404379-RN
  • WA License # 60616114-NP
  • WI License # 169703-030
  • WI License # 5396-33
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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