NPI 1821072992

Kaisa L Johnson, CNM

Practitioner Midwife St Louis Park, MN

Practice location

Address: 6490 Excelsior Blvd STE E111, St Louis Park, MN 55426-4705
Phone: (952) 993-5029
Mailing address: 6465 Wayzata Blvd STE 315, St Louis Park, MN 55426-1728

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence R149903-4 (MN)

Other Midwife providers in Minnesota →

Registry record

NPI: 1821072992
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Dec 2005
Record last updated: 17 Nov 2014

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.