Individual provider · Type 1 NPI

Ludmila Stanislavivna Johnson, NP

Family Nurse Practitioner · Minneapolis, MN

NPI number 1790062545 Active

Practice location

516 Delaware St SE
Minneapolis, MN 55455-0356

Call (612) 626-6688 Map

Fax (612) 626-3217

Mailing address

420 Delaware St SE, Mmc 295
Minneapolis, MN 55455-0341

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	R 172283-7 (MN)

Family Nurse Practitioner: Definition to come...

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About NPI 1790062545

Ludmila Stanislavivna Johnson, NP's National Provider Identifier is 1790062545, issued on Nov 8, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Minneapolis, MN. The record was last updated on Jan 13, 2012.