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Individual
NITTAYA JOHNSON
Active
Individual
NITTAYA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11006724
FL
Other
Enumeration date
04/08/2020
Last updated
10/31/2021
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