Individual
ANGELA SUSAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6363 FRANCE AVE S, SUITE 400, EDINA, MN 55435-2129
(952) 920-2070
(952) 920-7444
Mailing address
6363 FRANCE AVE S, SUITE 400, EDINA, MN 55435-2129
(952) 920-2070
(952) 920-7444
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R187836-7
MN
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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