Individual
ANITA PATRICIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3132 EMERSON AVE S APT 1, MINNEAPOLIS, MN 55408-2717
(612) 695-3225
Mailing address
1622 BOHLAND AVE, SAINT PAUL, MN 55116-2121
(612) 695-3225
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA 0261
MN
Other
Enumeration date
12/03/2010
Last updated
02/18/2017
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