| Doctor Name: | SVITLANA JOHNSON |
| NPI Number: | 1619216116 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R. N. |
| License Number: | R-203288-5 |
| Business Practice Address: | 2586 7th Ave E Suite 302 North St Paul, MN - 551093083 |
| Business Phone Number: | 6517898775 |
| Business Fax Number: | 6517898795 |
| Mailing Address: | 5680 Hadley Ave N, Apt 121 OAKDALE |
| State: | MN |
| Postal Code: | 551281004 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/05/2013 |
| NPI Last Update Date: | 02/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | R-203288-5 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |