person
Mary Alycia Johnson
Pediatric Nurse Practitioner in Edina, Minnesota
NPI 1144276973

Mary Alycia Johnson is a Pediatric Nurse Practitioner based in Edina, MN and is specialized in Pediatrics. Mary Alycia Johnson practices in Edina, MN. The NPI Number for Mary Alycia Johnson is 1144276973 and holds a License No. R1447772 (Minnesota).

The current practice location address for Mary Alycia Johnson is 6401 France Ave S, Edina, MN and can be reached out via phone at 952-924-5000.

Location: 6401 France Ave S, Edina, MN, 55435-2104
person
Provider Profile Details
NPI Number
1144276973
Provider Name
Mary Alycia Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
6401 France Ave S, Edina, MN, 55435-2104
Phone Number
952-924-5000
Fax Number
Provider Enumeration Date
05/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6401 France Ave S
City
State
Zip
55435-2104
Phone Number
952-924-5000
Fax Number
person
Provider Business Mailing Address Details
Address
6401 France Ave S
City
State
Zip
55435-2104
Phone Number
952-924-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
R1447772 (Minnesota)
Definition
Definition to come...
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