# MR. FREDRICK G. JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699067546
- **Gender:** Man
- **Credential:** C.R.N.F.A.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | RN143974 | AZ | Yes |

## Other

- **Enumeration date:** 05/11/2011
- **Last updated:** 04/18/2018