NPI Profile for KIRSTEN L JOHNSON in CHASKA, MN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diabetes Educator |
163WD0400X |
| NPI Number | 1093169567 |
|
| Status | Active | |
| Credentials | RN, PHN, CDE | |
| Entity | Individual | |
| Enumeration date | 04/20/2016 | |
| Last updated | 04/20/2016 - About 10 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KIRSTEN L JOHNSON
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| LAURIE A SISSER, RN 123 W. 3RD STREET, SUITE #1 CHASKA, MN |
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