Individual provider · Type 1 NPI
Tara Johnson
Student in an Organized Health Care Education/Training Program · Minneapolis, MN
Practice location
606 24th Ave S Fl 3
Minneapolis, MN 55454-1455
Fax (612) 273-7112
Mailing address
420 Delaware St SE
Minneapolis, MN 55455-0341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1912753153
Tara Johnson's National Provider Identifier is 1912753153, issued on Apr 29, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Minneapolis, MN. The record was last updated on Jun 14, 2024.