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Contact Information

MARY J JOHNSON, CNM, CNP
3625 W 65TH ST STE 100
EDINA, MN55435-2147
 Phone: 952-920-7001
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARY J JOHNSON · (Female)

NPI Number 1578550992
Status Active
Credentials CNM, CNP
Entity Individual
Enumeration date 09/30/2005
Last updated 02/12/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MN License # R123626-8
  • MN Medicaid 642215200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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