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Elgin Bruce Johns JR., SPNPHYSICIANEXTEND
Licensed Practical Nurse in Willmar, Minnesota
NPI 1407910029

Elgin Bruce Johns JR. is a Licensed Practical Nurse based in Willmar, MN. Elgin Bruce Johns JR. practices in Willmar, MN and has the professional credentials of SPNPHYSICIANEXTEND. The NPI Number for Elgin Bruce Johns JR. is 1407910029 and holds a License No. L0354989 (Minnesota).

The current practice location address for Elgin Bruce Johns JR. is 101 Willmar Ave Sw, Willmar, MN and can be reached out via phone at 320-231-5000 and via fax at 320-231-5067.

Location: 101 Willmar Ave Sw, Willmar, MN, 56201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407910029
Provider Name
Elgin Bruce Johns JR.
Credential
SPNPHYSICIANEXTEND
Provider Entity Type
Individual
Gender
Male
Address
101 Willmar Ave Sw, Willmar, MN, 56201
Phone Number
320-231-5000
Fax Number
320-231-5067
Provider Enumeration Date
12/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
101 Willmar Ave Sw
City
Willmar
State
Minnesota
Zip
56201
Phone Number
320-231-5000
Fax Number
320-231-5067
person
Provider Business Mailing Address Details
Address
101 Willmar Ave Sw
City
Willmar
State
Minnesota
Zip
56201
Phone Number
320-231-5000
Fax Number
320-231-5067
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
L0354989 (Minnesota)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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