Gregory M Johnson, APRN,CNP | |
705 Pleasant Ave S, Park Rapids, MN 56470-1440 | |
(218) 732-2800 | |
(218) 732-2857 |
Full Name | Gregory M Johnson |
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Gender | Male |
Speciality | Nurse Practitioner - Pediatrics |
Location | 705 Pleasant Ave S, Park Rapids, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437554482 | NPI | - | NPPES |
1437554482 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 3084 (Minnesota) | Primary |
163W00000X | Registered Nurse | R 223267-2 (Minnesota) | Secondary |
Entity Name | St Marys Regional Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679561088 PECOS PAC ID: 2062326820 Enrollment ID: O20031117000090 |
Mailing Address | Practice Location Address |
---|---|
Gregory M Johnson, APRN,CNP 1702 University Dr S, Fargo, ND 58103-4940 Ph: () - | Gregory M Johnson, APRN,CNP 705 Pleasant Ave S, Park Rapids, MN 56470-1440 Ph: (218) 732-2800 |
Kathryn L Nevins, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 | |
Stacia Lenore Heisler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 | |
Victoria Rae Teske, APRN,CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 Fax: 218-732-2857 | |
Amy Jo Steeke, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 | |
Ms. Delores Ann Alleckson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 Fax: 218-732-2857 | |
Anita Bagstad, APRN,CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 Fax: 218-732-2857 | |
Charlotte Ann Rollie, F.N.P, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 Fax: 218-732-2874 |