-- MARY ALYCIA JOHNSON --
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1144276973- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 6401 FRANCE AVE S, EDINA, MN, 554352104
- Phone
- (952) 924-5000
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: MN #R1447772
All Addresses
MAILING
6401 FRANCE AVE S
EDINA, MN, 554352104