Individual
EMILY RUTH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2626 E 82ND ST, #420, BLOOMINGTON, MN 55425-1300
(952) 858-0358
Mailing address
3923 WILLMATT HL, MINNETONKA, MN 55305-5141
(952) 252-0459
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 177197-2
MN
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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