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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELGIN BRUCE JOHNS JR., SPN PHYSICIAN EXTEND

Active

ELGIN BRUCE JOHNS JR., SPN PHYSICIAN EXTEND is a Licensed Practical Nurse healthcare provider located in WILLMAR, Minnesota. NPI 1407910029 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · WILLMAR, MN

Registration Details

NPI Number
1407910029
Provider Type
Individual
Gender
Male
NPI Issued
Dec 20, 2006 (19.67358012576 yrs)
Last Updated
Jul 8, 2007
License
L0354989 (MN)

Practice Information

Address
101 WILLMAR AVE SW
AFFILIATED COMMUNITY MEDICAL CENTERS
WILLMAR, MN, 56201
Browse MN providers · Browse ZIP 56201
Phone
3202315000
Fax
3202315067
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in WILLMAR, MN

Name Credential NPI
SHARON L CRAMLET PE LPN PHYSICIAN EXT 1801950597
REBECCA JEAN PETERSEN LPN PE 1659436434
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.