NPI
Nicole Johnson
NPI 1811635014
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- NP
- Type
- Individual
- Enumeration date
- 2022-05-26
- Last updated
- 2022-05-26
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Specialties
Licenses
- License SD
- 2022003041
Location
- Practice location
- 410 W. 4th St
- City
- Mahnomen MN
- Postal code
- 56557
- Phone
- (218) 935-2514
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Mahnomen, MN. 55 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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