Individual
HEATHER NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
500 S MAPLE ST, WACONIA, MN 55387-1791
(952) 556-2600
(952) 556-2601
Mailing address
325 N WILLOW ST, BELLE PLAINE, MN 56011-1648
(612) 812-3018
(952) 556-2601
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
2086792
MN
163WX1500X
Ostomy Care Registered Nurse
2086792
MN
363LF0000X
Family Nurse Practitioner
Primary
10137
MN
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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