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Individual
CARRIE JOHNSON
Active
Individual
CARRIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
041441001
IL
163WI0500X
Infusion Therapy Registered Nurse
041441001
IL
163WP0000X
Pain Management Registered Nurse
041441001
IL
163WU0100X
Urology Registered Nurse
Primary
041441001
IL
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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