Individual
MRS. SANDRA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
900 W NORFOLK AVE, NORFOLK, NE 68701-5006
(402) 379-1490
(402) 379-2073
Mailing address
900 W NORFOLK AVE, NORFOLK, NE 68701-5006
(402) 379-1490
(402) 379-2073
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
66288
NE
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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