Individual provider · Type 1 NPI

Carla Rae Johnson, CNP

Gerontology Nurse Practitioner · Stillwater, MN

NPI number 1871925479 Active

Practice location

270 Main St N Ste 300
Stillwater, MN 55082-6788

Fax (651) 342-1428

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X452 (MN)
Adult Health Nurse Practitioner 363LA2200X452 (MN)
Nurse Practitioner 363L00000X452 (MN)
Primary Care Nurse Practitioner 363LP2300X452 (MN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1871925479

Carla Rae Johnson, CNP's National Provider Identifier is 1871925479, issued on Aug 6, 2013. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Stillwater, MN. The record was last updated on May 21, 2026.