Individual
WAYNE E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1100 TUNNEL RD, ASHEVILLE, NC 28805-2576
(828) 298-7911
Mailing address
15 WOODCREST RD, ASHEVILLE, NC 28804-2846
(919) 656-2608
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
075554
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
177153
RN LICENSE
NC
05
—
8052578
—
NC
Enumeration date
08/04/2006
Last updated
06/14/2023
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