Individual
LUCY M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
100 4TH ST S, FARGO, ND 58103-1929
(701) 234-3100
(701) 234-3120
Mailing address
100 4TH ST S, FARGO, ND 58103-1929
(701) 234-3100
(701) 234-3120
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
R20985
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300019200
—
MN
05
—
70010
—
ND
05
—
70011
—
ND
Enumeration date
07/18/2006
Last updated
10/16/2012
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