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 10 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