Heather Nicole Johnson, CNP
Nurse Practitioner, Family in Waconia, MN. Individual provider (NPI-1).
NPI number1316633233
StatusActive
Last updated in NPPESApr 13, 2023
Details
- NPI
- 1316633233
- Entity type
- Individual (NPI-1)
- Name
- Heather Nicole Johnson
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2023
- Certification date
- Apr 13, 2023
- Last updated
- Apr 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 10137 | MN | Yes |
| 163WW0000X | Registered Nurse, Wound Care | 2086792 | MN | |
| 163WX1500X | Registered Nurse, Ostomy Care | 2086792 | MN |
Practice location
500 S Maple StWaconia, MN 55387-1791
Phone 952-556-2600 · Fax 952-556-2601
Mailing address
325 N Willow StBelle Plaine, MN 56011-1648
Phone 612-812-3018 · Fax 952-556-2601
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All 16 Family Nurse Practitioner providers in Waconia · All 693 providers in Waconia
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