Individual
NATALIE NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
9550 UPLAND LN N STE 230, MAPLE GROVE, MN 55369-4484
(763) 255-3400
Mailing address
7380 STEEPLEVIEW RD, WOODBURY, MN 55125-1521
(715) 579-7889
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
6529
MN
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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