Individual
LUDMILA STANISLAVIVNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
516 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0356
(612) 626-6688
(612) 626-3217
Mailing address
420 DELAWARE ST SE, MMC 295, MINNEAPOLIS, MN 55455-0341
(612) 625-9900
(612) 625-7950
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 172283-7
MN
Other
Enumeration date
11/08/2011
Last updated
01/13/2012
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