Individual
ANNA LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CNP
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-3246
(952) 993-3010
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8161
MN
363LA2200X
Adult Health Nurse Practitioner
8161
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8161
MN BOARD OF NURSING
MN
Enumeration date
05/11/2021
Last updated
08/09/2024
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