IndividualActive
Alvin Johnson, CRNA
NPI 1073544649 · Certified Registered Nurse Anesthetist · Minneapolis, MN
Provider details
- NPI number
- 1073544649
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 029900 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
701 Park Ave
Minneapolis, MN 55415-1623
Phone: (612) 873-3152
Fax: (612) 904-4218
Approximate (ZIP-level) locationGet directions
Mailing address
701 Park Ave
Minneapolis, MN 55415-1623
Registry dates
- Enumerated
- 2006-07-05
- Last updated
- 2007-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.