Individual
MS. KRISTA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, APRN, CNP
Contact information
Practice address
5353 WAYZATA BLVD STE 510, ST LOUIS PARK, MN 55416-1340
(952) 254-3557
(952) 254-3558
Mailing address
3601 KIPLING AVE, ST LOUIS PARK, MN 55416-4817
(901) 343-7873
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13417
MN
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
191560
AK
Other
Enumeration date
05/09/2022
Last updated
10/31/2025
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