Individual
ENRICO RAMON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1925 WOODWINDS DR, WOODBURY, MN 55125-4445
(651) 232-0100
Mailing address
1415 LILAC DR N STE 190, GOLDEN VALLEY, MN 55422-4544
(763) 267-8701
(763) 231-9602
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP 4417
MN
Other
Enumeration date
02/10/2016
Last updated
02/08/2019
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