Individual
JEREMY DELANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3300 OAKDALE AVE NORTH, ROBBINSDALE, MN 55422
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
382
MN
367500000X
Certified Registered Nurse Anesthetist
AP60813548
WA
Other
Enumeration date
07/08/2014
Last updated
10/05/2020
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