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

NICHOLAS ROY JOHNSON, PA-C

Active

NICHOLAS ROY JOHNSON, PA-C is a Physician Assistant healthcare provider located in MAPLE GROVE, Minnesota. NPI 1902534910 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MAPLE GROVE, MN

Registration Details

NPI Number
1902534910
Provider Type
Individual
Gender
Male
NPI Issued
Aug 9, 2022 (4.0106833268524 yrs)
Last Updated
Oct 13, 2022
License
14147 (MN)

Practice Information

Address
14500 99TH AVE N
MAPLE GROVE, MN, 553694730
Browse MN providers · Browse ZIP 55369
Phone
7638981000
Fax
7638981009
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in MAPLE GROVE, MN

Name Credential NPI
JOLENE NELSON 1578540613
MS. GAY WYNNE LENTFER PA 1104891100
THOMAS WILKS ELLIS III P.A. C 1881632891
LAURA OLIVIA KRAMER PA-C 1679501373
JODY ANN MIKKELSON PA-C 1669400156
CATHERINE PANDISCIO PA-C 1871522599
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.