Individual
MS. TANYA ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
106 4TH AVE N, FERGUS FALLS, MN 56537-1034
(218) 998-3778
(218) 998-3187
Mailing address
19850 WOODLAND CIRCLE, DETROIT LAKES, MN 56501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R187358-2
MN
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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