Elise H Johnson, M.D.
General Practice in Shoreview, MN. Individual provider (NPI-1).
NPI number1427317023
StatusActive
Last updated in NPPESMar 27, 2019
Details
- NPI
- 1427317023
- Entity type
- Individual (NPI-1)
- Name
- Miss Elise H Johnson
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 16, 2012
- Last updated
- Mar 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 56936 | MN | Yes |
Practice location
4194 Lexington Ave NShoreview, MN 55126
Phone 651-483-5461
Mailing address
260 Cobblestone DrColorado Springs, CO 80906-7624
Phone 320-224-6038
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.