Individual
MS. MARGARET M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
120 PARK AVE, HEBRON, NE 68370-2019
(402) 768-7203
(402) 768-4697
Mailing address
120 PARK AVE, HEBRON, NE 68370-2019
(402) 768-7203
(402) 768-4697
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1011
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505967737
—
NE
Enumeration date
11/07/2005
Last updated
12/05/2014
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