Individual
MRS. NADINE IRENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1607 PLANTATION RD, MOHAVE VALLEY, AZ 86440-8420
(928) 346-4679
(928) 346-4686
Mailing address
1607 PLANTATION RD, MOHAVE VALLEY, AZ 86440-8420
(928) 346-4679
(928) 346-4686
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
710223
CA
163W00000X
Registered Nurse
RN153520
AZ
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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