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NPI Code Detail

MEDICARE: ROBIN LOUISE JOHNSON APRN, FNP-BC

MEDICARE: ROBIN LOUISE JOHNSON APRN, FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1130541TX

General Provider Information

NPI Number : 1558841155
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN LOUISE JOHNSON APRN, FNP-BC
Provider Business Mailing Address
First Line : 100 WASHINGTON AVE S STE 900
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55401-2455
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 WASHINGTON AVE S STE 900
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55401-2455
Country : US
Telephone Number : 855-434-1512
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2018
Last Update Date : 08/13/2023

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