Individual
HEIDI L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1440 N MAIN ST, SPEARFISH, SD 57783-1505
(605) 644-4000
(605) 644-4006
Mailing address
353 FAIRMONT BLVD, ATTEN CHRISTIE MSS, RAPID CITY, SD 57701-7375
(605) 644-4000
(605) 644-4006
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR000682
SD
Other
Enumeration date
12/04/2007
Last updated
09/19/2013
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