Individual
SARAH MARY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5200 DOUGLAS DR N, CRYSTAL, MN 55429-3104
(763) 400-3628
(763) 342-4183
Mailing address
6694 MCKOWN CT, INDEPENDENCE, MN 55359-2200
(952) 240-4944
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
970
MN
Other
Enumeration date
09/03/2009
Last updated
12/18/2023
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