Individual
ELEANOR JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
515 DIVISION ST, EXCELSIOR, MN 55331-3233
(952) 474-5488
Mailing address
5115 EXCELSIOR BLVD STE 712, ST LOUIS PARK, MN 55416-2906
(763) 465-0500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7907
MN
Other
Enumeration date
12/29/2020
Last updated
03/02/2023
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