Individual
RENAE ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 S COLUMBIA RD, GRAND FORKS, ND 58201-4032
(701) 780-5000
Mailing address
1000 S COLUMBIA RD, GRAND FORKS, ND 58201-4032
(701) 780-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1855
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
R42804
ND
Other
Enumeration date
02/03/2016
Last updated
11/29/2024
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