Johnson O Olagunju X, RN
Registered Nurse in Brooklyn Park, MN. Individual provider (NPI-1).
NPI number1902321771
StatusActive
Last updated in NPPESAug 13, 2017
Details
- NPI
- 1902321771
- Entity type
- Individual (NPI-1)
- Name
- Johnson O Olagunju X
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2017
- Last updated
- Aug 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 244235-2 | MN | Yes |
Practice location
8525 Edinbrook XingBrooklyn Park, MN 55443-1900
Phone 763-315-5912
Mailing address
2015 Girard Ave NMinneapolis, MN 55411-2544
Phone 612-886-4571
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