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Organization

THREE BIRDS HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTA MARIE JOHNSON APRN (MANAGING MEMBER)
(612) 405-9101
Entity
Organization

Contact information

Practice address
3115 HENNEPIN AVE, MINNEAPOLIS, MN 55408-2620
(612) 405-9101
Mailing address
3601 KIPLING AVE, ST LOUIS PARK, MN 55416-4817
(612) 405-9101

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
363LW0102X
Women's Health Nurse Practitioner
367A00000X
Advanced Practice Midwife

Other

Enumeration date
06/10/2025
Last updated
06/10/2025
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