Individual provider · Type 1 NPI

Bo Johannes, RN

Registered Nurse · Eden Prairie, MN

NPI number 1760308167 Active

Practice location

9300 Hennepin Town Rd Ste 110
Eden Prairie, MN 55347-3072

Fax (844) 479-8458

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X2484148 (MN)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1760308167

Bo Johannes, RN's National Provider Identifier is 1760308167, issued on Jun 29, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Eden Prairie, MN. The record was last updated on Jun 29, 2026.