Individual
ANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2682 HURON ST, ROSEVILLE, MN 55113-1840
(651) 955-7106
Mailing address
2682 HURON ST, ROSEVILLE, MN 55113-1840
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
821721
MN
Other
Enumeration date
03/28/2026
Last updated
03/28/2026
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