Angela Susan Johnson, NP-C
Nurse Practitioner, Adult Health in Edina, MN. Individual provider (NPI-1).
NPI number1043554652
StatusActive
Last updated in NPPESNov 20, 2012
Details
- NPI
- 1043554652
- Entity type
- Individual (NPI-1)
- Name
- Angela Susan Johnson
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 20, 2012
- Last updated
- Nov 20, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | R187836-7 | MN | Yes |
Practice location
6363 France Ave SSuite 400
Edina, MN 55435-2129
Phone 952-920-2070 · Fax 952-920-7444
Mailing address
6363 France Ave SSuite 400
Edina, MN 55435-2129
Phone 952-920-2070 · Fax 952-920-7444
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