Individual provider · Type 1 NPI

Mary Alycia Johnson

Pediatric Nurse Practitioner · Edina, MN

NPI number 1144276973 Active

Practice location

6401 France Ave S
Edina, MN 55435-2104

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR1447772 (MN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1144276973

Mary Alycia Johnson's National Provider Identifier is 1144276973, issued on May 25, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Edina, MN. The record was last updated on May 16, 2008.