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Andrea Johnson
NPI 1912461955 · on the registry since 2019
Practice
- Address
- 764 Bayard Ave
Saint Paul, MN 55102 - Phone
- (651) 675-9451
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 163WP2201X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-01-23
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