Individual
JOHANNA CLARA AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4656 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416-4938
(952) 929-0140
Mailing address
2925 DAKOTA AVE S, ST LOUIS PARK, MN 55416-1834
(952) 999-1233
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7021
MN
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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