Christie E Johnson | Minnetonka, MN • PECOS Search

Christie E Johnson

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9900 Bren Rd E, Minnetonka, MN 55343-9664

(216) 337-9385 (440) 683-6018

PECOS Enrollment

Based on the most recent information from CMS, provider Christie E Johnson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1821485533
Provider Type
Individual
Full Name
Johnson, Christie E
Credential
CNP

Gender
Female
Sole Proprietor
No
Enumeration Date
4/20/2015
Last Updated
6/29/2020

Contact Information

Practice Location

9900 Bren Rd E, Minnetonka, MN 55343-9664

Unlisted Fax

Mailing Location

1292 Irene Rd, Lyndhurst, OH 44124-1357

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License COA.17158-NP Ohio