| Eleanor Johnson, NP | |
|
515 Division St, Excelsior, MN 55331-3233 | |
| (952) 474-5488 | |
| Not Available |
| Full Name | Eleanor Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 515 Division St, Excelsior, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588251235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 7907 (Minnesota) | Primary |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Entity Name | Sama Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376906388 PECOS PAC ID: 0143500272 Enrollment ID: O20161207002031 |
| Entity Name | Aeris Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184228520 PECOS PAC ID: 0042624306 Enrollment ID: O20210127001911 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Eleanor Johnson, NP 5115 Excelsior Blvd Ste 712, St Louis Park, MN 55416-2906 Ph: (763) 465-0500 | Eleanor Johnson, NP 515 Division St, Excelsior, MN 55331-3233 Ph: (952) 474-5488 |
Ms. Kara M Hutton, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 675 Water St, Excelsior, MN 55331 Phone: 952-906-7855 Fax: 952-470-4523 | |
Irene Enjema Ekobena, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 464 2nd St Ste 204, Excelsior, MN 55331 Phone: 612-787-8408 Fax: 612-567-8935 | |
Mai Moua Vang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 470 Water St, Excelsior, MN 55331 Phone: 952-442-6950 Fax: 952-955-6276 | |
Dr. Yuven Sabastian Lukong, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 464 2nd St Ste 204, Excelsior, MN 55331 Phone: 612-787-8408 Fax: 612-567-8935 | |
Mr. Andrew Kern Rosdhal, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23505 Smithtown Rd Ste 110, Excelsior, MN 55331 Phone: 763-458-9494 | |
Kayla Lynn Parker, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23505 Smithtown Rd Ste 110, Excelsior, MN 55331 Phone: 763-458-9494 Fax: 763-647-2477 |