NPI 1639211048

Summer Johnson

Practitioner Neonatal/Pediatric Certified Respiratory Therapist Roseville, MN

Practice location

Address: 2800 Cleveland Ave N, Roseville, MN 55113-1126
Phone: (651) 642-1825
Mailing address: 1724 Woodgate Ln, Eagan, MN 55122-2433

Registered specialties (2)

Neonatal/Pediatric Certified Respiratory Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2278P3900X Licence 2910 (MN)

Other Respiratory Therapist, Certified providers in Minnesota →

Neonatal/Pediatric Certified Respiratory Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2278P3900X Licence 3153 (WI)

Registry record

NPI: 1639211048
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.