Individual
VICKI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 2ND AVE S, SUITE 400, MINNEAPOLIS, MN 55402-3318
(612) 659-7111
(612) 659-7101
Mailing address
920 2ND AVE S, SUITE 400, MINNEAPOLIS, MN 55402-3318
(612) 659-7111
(612) 659-7101
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704136195
MI
Other
Enumeration date
09/10/2007
Last updated
02/07/2009
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