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Individual

MRS. DEANNA ELIZABETH JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, NNP-BC

Contact information

Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6295
(612) 813-6949
Mailing address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6295
(612) 813-6949

Taxonomy

Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
R 153137-4
MN

Other

Enumeration date
10/20/2009
Last updated
10/20/2009
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