Individual
MS. SARA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CDCES
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 273-8383
Mailing address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 625-8690
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
1944
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2182695
AMERICA'S PPO
FM
01
—
6300309
SELECT CARE
MN
01
—
900233283
RR MEDICARE
MN
Enumeration date
06/05/2006
Last updated
09/26/2023
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