Individual provider · Type 1 NPI

Elgin Bruce Johns Jr., SPN PHYSICIAN EXTEND

Licensed Practical Nurse · Willmar, MN

NPI number 1407910029 Active

Practice location

101 Willmar Ave SW, Affiliated Community Medical Centers
Willmar, MN 56201

Call (320) 231-5000 Map

Fax (320) 231-5067

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL0354989 (MN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1407910029

Elgin Bruce Johns Jr., SPN PHYSICIAN EXTEND's National Provider Identifier is 1407910029, issued on Dec 20, 2006. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Willmar, MN. The record was last updated on Jul 8, 2007.