Individual
ROBERT ASHFORD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3000 COLISEUM DR, HAMPTON, VA 23666-5963
(757) 736-3498
Mailing address
1385 FORDHAM DR STE 105-285, VIRGINIA BEACH, VA 23464-5345
(757) 941-7805
(757) 941-7805
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024158463
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010171351
—
VA
01
—
C00228
MEDICARE PART B
VA
Enumeration date
03/31/2006
Last updated
12/21/2022
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