Individual
MINDY LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Mailing address
3038 30TH STREET CT S, SAINT CLOUD, MN 56301-9083
(320) 420-2859
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R190897-8
MN
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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