Individual
KRISTA LOUISE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Mailing address
14155 88TH ST NE, OTSEGO, MN 55330-7345
(218) 969-7603
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
7948
MN
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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