Individual
KIRSTEN JOHANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S CENTER ST, DURAND, IL 61024-9590
(815) 248-3443
Mailing address
400 S CENTER ST, DURAND, IL 61024-9590
(815) 248-3443
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041390043
IL
163W00000X
Registered Nurse
174239030
WI
163W00000X
Registered Nurse
324880
OH
363L00000X
Nurse Practitioner
209008685
IL
363L00000X
Nurse Practitioner
4357
WI
363LF0000X
Family Nurse Practitioner
Primary
209008685
IL
363LF0000X
Family Nurse Practitioner
4357033
WI
Other
Enumeration date
03/23/2011
Last updated
04/08/2024
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