Search › Minnesota › 225700000X
Mariah Johnson
NPI 1871378273 · on the registry since 2023
Practice
- Address
- 4590 Scott Trail
110
Eagan, MN 55122 - Phone
- (651) 454-1000
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-25
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