Individual
MRS. MICHELLE RENEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
25475 N STETSON HILLS LOOP, PHOENIX, AZ 85083-1699
(623) 445-5300
(623) 445-5380
Mailing address
4315 W SAGUARO PARK LN, GLENDALE, AZ 85310-3938
(623) 445-5310
(623) 780-7624
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN187277
AZ
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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