Individual
MEGAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1661 SAINT ANTHONY AVE FL 1, SAINT PAUL, MN 55104
(651) 968-5201
Mailing address
1661 SAINT ANTHONY AVE FL 1, SAINT PAUL, MN 55104-7632
(651) 968-5201
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
5358
MO
Other
Enumeration date
09/14/2017
Last updated
12/14/2022
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