Individual
REBECCA RAE JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1215 PLEASANT ST STE 308, DES MOINES, IA 50309-1409
(515) 241-4325
Mailing address
1215 PLEASANT ST STE 308, DES MOINES, IA 50309-1409
(515) 241-4325
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A157622
IA
Other
Enumeration date
03/08/2021
Last updated
06/22/2022
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