Individual
MS. LAURA EVA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,CNP
Contact information
Practice address
451 E SAINT GERMAIN ST, SUITE 100, SAINT CLOUD, MN 56304-4649
(320) 252-9526
(320) 252-4710
Mailing address
451 E SAINT GERMAIN ST, SUITE 100, SAINT CLOUD, MN 56304-4649
(320) 252-9526
(320) 252-4710
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R153468-5
MN
Other
Enumeration date
09/15/2009
Last updated
08/24/2011
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