Individual
COLETTE RAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5500 94TH AVE N OFC BUILDING, BROOKLYN PARK, MN 55443-1992
(763) 843-1223
Mailing address
5960 142ND AVE NW, RAMSEY, MN 55303-5644
(763) 843-1223
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
2185949
MN
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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