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Search › Minnesota › 101YM0800X

Samantha Pruitt-Johnson

NPI 1750987749 · on the registry since 2020

Practice

Address
3800 Park Nicollet Blvd
St Louis Park, MN 55416
Phone
(952) 993-2498
Fax
(952) 993-2505
Organisation at this address
Group Health Inc
Park Nicollet Clinic
Park Nicollet Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
402

Additional practice sites

  • 2030 Rahn Way, Eagan, MN

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Female
Record last updated
2022-06-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota