Individual
MRS. KATELIN ELIZABETH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
7042 EAGLE TRL, CENTERVILLE, MN 55038-7055
(651) 357-0630
Mailing address
7042 EAGLE TRL, CENTERVILLE, MN 55038-7055
(651) 357-0630
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8363
MN
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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