Individual
STEFFANI NICOLE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2405 8TH ST S STE 200, MOORHEAD, MN 56560-4200
(218) 331-4866
(218) 331-4967
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14462
MN
363A00000X
Physician Assistant
PAC0837
ND
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
03/27/2020
Last updated
12/01/2023
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