Individual
WENDY KAY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
420 DELAWARE ST SE, MMC 812, MINNEAPOLIS, MN 55455-0341
(612) 626-6736
(612) 626-5415
Mailing address
3656 34TH AVE S, MINNEAPOLIS, MN 55406-2735
(612) 626-6736
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R1365045
MN
Other
Enumeration date
03/27/2009
Last updated
03/27/2009
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