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Individual

MRS. SHAWN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN CNM

Contact information

Practice address
560 S MAPLE ST, SUITE 130, WACONIA, MN 55387
(952) 442-2137
Mailing address
560 S MAPLE ST, WESTERN OB/GYN; SUITE 130, WACONIA, MN 55387-1733
(303) 931-1482

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CNM2103
MN

Other

Enumeration date
07/02/2014
Last updated
07/05/2018
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