Individual provider · Type 1 NPI
Gregory M. Johnson, APRN, CNP
Pediatric Nurse Practitioner · Park Rapids, MN
NPI number
1437554482
Active
Practice location
705 Pleasant Ave S
Park Rapids, MN 56470-1440
Fax (218) 732-2857
Mailing address
1702 University Dr S
Fargo, ND 58103-4940
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 3084 (MN) |
| Registered Nurse | 163W00000X | R 223267-2 (MN) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1437554482
Gregory M. Johnson, APRN, CNP's National Provider Identifier is 1437554482, issued on Nov 1, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Park Rapids, MN. The record was last updated on Feb 25, 2021.