Individual
MS. GILDA AUDREY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1991 SPROUL RD, SUITE 300, BROOMALL, PA 19008-3512
(610) 325-1390
(610) 325-1373
Mailing address
1991 SPROUL RD, SUITE 300, BROOMALL, PA 19008-3512
(610) 325-1390
(610) 325-1373
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00003900
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
SP001395D
PA
Other
Enumeration date
02/23/2007
Last updated
06/03/2025
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