Individual
ABIGAIL LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2200 HAVASUPAI BLVD, LAKE HAVASU CITY, AZ 86403-3122
(928) 505-6900
Mailing address
2975 DOGWOOD CT, LAKE HAVASU CITY, AZ 86404-3314
(618) 315-8117
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
288511
AZ
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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