Individual
MARISSA ANN VIRNIG JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 CENTRACARE CIR STE 1575, SAINT CLOUD, MN 56303-5000
(320) 229-4944
(320) 229-5156
Mailing address
5315 16TH ST N, SAINT CLOUD, MN 56303-4674
(320) 232-8903
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13065
MN
Other
Enumeration date
06/25/2025
Last updated
07/17/2025
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