Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mbuotidem Johnson

Individual provider Medical-Surgical Registered Nurse · NPI 1518803634

Mbuotidem Johnson is a Medical-Surgical Registered Nurse in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2026.

Licensed in
MN
In the registry since
2026

Practice location Address checks out

4621 Snelling Ave Apt 307
Minneapolis, MN 55406-4470
Phone: (678) 787-8059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical-Surgical Registered Nurse (primary) Taxonomy 163WM0705X · Licence 2527958 (MN)

Record details

NPI number1518803634
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 29, 2026
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026
Mailing address4621 Snelling Ave Apt 307, Minneapolis, MN 55406-4470

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