NICOLE JOHNSON

MAHNOMEN, MN
NPI1811635014
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SD  2022003041)
Enumeration Date2022-05-26
Last Update Date2022-05-26
Business Address
NICOLE JOHNSON NP
410 W. 4TH ST
MAHNOMEN, MN 56557
Phone number: 218-935-2514
Mailing Address
NICOLE JOHNSON NP
47639 192ND ST
BRANDT, SD 57218-5731
Phone number: 218-280-1024