Physician Assistant
ANNETTE BOTHUN PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1528583846 · enumerated 2017-08-08 · record updated 2026-06-02. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1451 44TH AVE S STE E, GRAND FORKS, ND, 58201-3434 (701) 787-5800 Fax (701) 787-5802 Google Maps Apple Maps OpenStreetMap
- Practice location 1451 44TH AVE S STE E, GRAND FORKS, ND, 58201-3434 (701) 787-5800 Fax (701) 787-5802 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License PAC0723 ND
- Physician Assistant 363A00000X · License 12482 MN
In this directory
Locations and evidence
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Practice location
GRAND FORKS, ND, 582013434
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.