Individual
NATHAN ALLEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
9315 TELEGRAPH RD, REDFORD, MI 48239-1260
(313) 450-4500
(313) 450-4512
Mailing address
30323 VAN HORN RD, NEW BOSTON, MI 48164-9499
(734) 552-6062
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704298402
MI
Other
Enumeration date
08/22/2020
Last updated
01/25/2021
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