Individual
MICHELLE DIANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
1617 E DIVISION ST, RIVER FALLS, WI 54022-1571
(715) 307-6600
(715) 307-6601
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
6115
MN
363LF0000X
Family Nurse Practitioner
Primary
251889-30
WI
Other
Enumeration date
08/29/2018
Last updated
09/01/2020
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