Individual
KRISTI JO JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3280 20TH ST S, FARGO, ND 58104-5917
(701) 293-7408
Mailing address
4307 RIVERWOOD DR N, FARGO, ND 58102-5324
(701) 361-4146
(701) 239-1779
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R22652
ND
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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