Tyler K. Johnson, PA-C
Physician Assistant · Excelsior, MN
UnclaimedPA-CNPI 1003362914
- Primary taxonomy
- 363AM0700X
- Enumerated
- 2016-08-31
- Practice location
- Excelsior, MN
- Last NPPES update
- 2019-05-07
State licenses
- IL · Physician assistant · LICENSED PHYSICIAN ASSISTANTExpiredthrough 2020
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.