IndividualActive
Beth Johnson, PNP
NPI 1750674594 · Pediatric Nurse Practitioner · Minneapolis, MN
Provider details
- NPI number
- 1750674594
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PNP
- Sex
- Female
- Sole proprietor
- No
- License
- R 161497-4 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2525 Chicago Ave South
Minneapolis, MN 55404-4518
Phone: (612) 813-7855
Approximate (ZIP-level) locationGet directions
Mailing address
2525 Chicago Avenue South
Minneapolis, MN 55404-4518
Registry dates
- Enumerated
- 2011-05-26
- Last updated
- 2017-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.