Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY M JOHNSON, APRN,CNP
ActiveGREGORY M JOHNSON, APRN,CNP is a Pediatric Nurse Practitioner healthcare provider located in PARK RAPIDS, Minnesota. NPI 1437554482 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · PARK RAPIDS, MN
Registration Details
- NPI Number
- 1437554482
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 1, 2014 (11.813340669929 yrs)
- Last Updated
- Feb 25, 2021
- Licenses
-
3084 (MN)R 223267-2 (MN)
Practice Information
- Address
-
705 PLEASANT AVE SPARK RAPIDS, MN, 564701440Browse MN providers · Browse ZIP 56470
- Phone
- 2187322800
- Fax
- 2187322857
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Registered Nurse
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.