Individual
SANDRA ELLEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 OSBORN BLVD, SAULT SAINTE MARIE, MI 49783-1822
(906) 635-4390
Mailing address
300 DAVE COWANS DR, SUITE 600, NEWPORT, KY 41071-4570
(859) 291-4800
(859) 291-4801
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704152459
MI
Other
Enumeration date
06/29/2006
Last updated
03/30/2017
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