Individual
LAURA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
(612) 273-4098
Mailing address
7679 HYDE AVE S, COTTAGE GROVE, MN 55016-1978
(651) 768-9094
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7448
MN
363LF0000X
Family Nurse Practitioner
7448
MN
Other
Enumeration date
06/08/2020
Last updated
12/07/2022
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