Individual
MS. KIRSTEN LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHN, CDE
Contact information
Practice address
112033 WARNER CIR, CHASKA, MN 55318-1437
(952) 356-7549
Mailing address
112033 WARNER CIR, CHASKA, MN 55318-1437
(952) 356-7549
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
R-157706-6
MN
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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