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Individual

BROOKE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, AGNP-C

Contact information

Practice address
12700 WHITEWATER DR, MINNETONKA, MN 55343-9438
(612) 398-9333
Mailing address
4205 WOODSTOCK AVE, MINNEAPOLIS, MN 55422-5277
(605) 280-8892

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0992021
CO
363LA2200X
Adult Health Nurse Practitioner
Primary
6468
MN

Other

Enumeration date
11/25/2015
Last updated
05/14/2020
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