Johnson, Samantha Julianne
Johnson, Samantha Julianne is an individual health care provider with primary practice located at 550 Osborne Rd Ne , Fridley MN 55432-2718. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Johnson, Samantha Julianne can be contacted via phone (763) 236-5000.Contact Information
Primary practice address
550 Osborne Rd Ne
Fridley MN 55432-2718
Phone: (763) 236-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2478915 | Minnesota |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 7209 | Minnesota |
Profile Details
| NPI number | 1194365999 |
|---|---|
| LBN Legal business name | Johnson, Samantha Julianne |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2020 |
| Last updated | Nov 2nd, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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