Individual
SUSAN MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
715 S 8TH STREET, MINNEAPOLIS, MN 55404-1210
(612) 873-6963
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2357
MN
363LA2100X
Acute Care Nurse Practitioner
2357
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
2357
MN
363LG0600X
Gerontology Nurse Practitioner
2357
MN
Other
Enumeration date
12/05/2008
Last updated
03/07/2024
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