Individual
MRS. BETH ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
2525 CHICAGO AVE SOUTH, MINNEAPOLIS, MN 55404-4518
(612) 813-7855
Mailing address
2525 CHICAGO AVENUE SOUTH, MINNEAPOLIS, MN 55404-4518
(612) 813-7855
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R 161497-4
MN
Other
Enumeration date
05/26/2011
Last updated
11/02/2017
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