Sally K Johnson, CRNA
Nurse Anesthetist, Certified Registered in Minneapolis, MN. Individual provider (NPI-1).
NPI number1184875502
StatusActive
Last updated in NPPESJan 6, 2026
Details
- NPI
- 1184875502
- Entity type
- Individual (NPI-1)
- Name
- Sally K Johnson
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2008
- Certification date
- Jan 6, 2026
- Last updated
- Jan 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | MNR123631-0 | MN | Yes |
Practice location
2828 Chicago AveSte 300
Minneapolis, MN 55407-1544
Phone 612-871-7639 · Fax 612-872-0302
Mailing address
3944 44th Ave SMinneapolis, MN 55406-3516
Phone 612-724-2869 · Fax 612-872-0302
Other practice locations
701 Park Ave
Minneapolis, MN 55415-1623
Minneapolis, MN 55415-1623
Phone 612-873-3000
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