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Individual
MS. ALICE NAOMI JOHNSON
Active
Individual
MS. ALICE NAOMI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
4704218703
MI
363LC1500X
Community Health Nurse Practitioner
Primary
4704218703
MI
363LP2300X
Primary Care Nurse Practitioner
4704218703
MI
Other
Enumeration date
10/31/2012
Last updated
07/14/2016
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