Krista Louise Johnson
Nurse Practitioner - Gerontology
1 Veterans Dr
Minneapolis
, Minnesota 55417-2309
Krista Louise Johnson
Nurse Practitioner - Gerontology
1 Veterans Dr
Minneapolis
, Minnesota 55417-2309
(218) 969-7603
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Krista Louise Johnson
- 14155 88th St Ne
- Otsego, MN
- Zip : 55330-7345
- Phone : (218) 969-7603
Second Address
- Krista Louise Johnson
- 1 Veterans Dr
- Minneapolis, MN
- Zip : 55417-2309
- Phone : (612) 725-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 7948 | MN |
National Provider Identifier
| NPI | 1043892557 |
|---|---|
| Provider Name | Krista Louise Johnson |
| First Address | Otsego, MN 55330-7345 |
| Second Address | Minneapolis, MN 55417-2309 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/04/2021 |
| Last Update Date | 23/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.