Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIRSTEN JOHANSON
ActiveKIRSTEN JOHANSON is a Family Nurse Practitioner healthcare provider located in DURAND, Illinois. NPI 1770882219 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · DURAND, IL
Registration Details
- NPI Number
- 1770882219
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 23, 2011 (15.370488229111 yrs)
- Last Updated
- Apr 8, 2024
- Licenses
-
174239030 (WI)041390043 (IL)209008685 (IL)324880 (OH)4357 (WI)
Practice Information
- Address
-
400 S CENTER STDURAND, IL, 610249590Browse IL providers · Browse ZIP 61024
- Phone
- 8152483443
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Registered Nurse
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Registered Nurse
- Additional Specialty
- Nurse Practitioner
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.