Individual
SALLY K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2828 CHICAGO AVE, STE 300, MINNEAPOLIS, MN 55407-1544
(612) 871-7639
(612) 872-0302
Mailing address
3944 44TH AVE S, MINNEAPOLIS, MN 55406-3516
(612) 724-2869
(612) 872-0302
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
MNR123631-0
MN
Other
Enumeration date
10/03/2008
Last updated
01/06/2026
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