Individual provider · Type 1 NPI
Colette Rae Johnson, RN
Psychiatric/Mental Health Registered Nurse · Brooklyn Park, MN
NPI number
1104697564
Active
Practice location
5500 94th Ave N Ofc Building
Brooklyn Park, MN 55443-1992
Mailing address
5960 142nd Ave NW
Ramsey, MN 55303-5644
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 2185949 (MN) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
Other psychiatric/mental health registered nurse providers in Brooklyn Park
About NPI 1104697564
Colette Rae Johnson, RN's National Provider Identifier is 1104697564, issued on Jan 12, 2024. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Brooklyn Park, MN. The record was last updated on Jan 12, 2024.