Individual
KATHERYN M JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4951 S WHITE MOUNTAIN RD BLDG A, SHOW LOW, AZ 85901-7827
(928) 537-6700
(928) 532-2199
Mailing address
4951 S WHITE MOUNTAIN RD BLDG A, SHOW LOW, AZ 85901-7827
(928) 537-6700
(928) 532-2199
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
225636
AZ
363LF0000X
Family Nurse Practitioner
Primary
225636
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008465
—
AZ
Enumeration date
08/27/2019
Last updated
04/12/2024
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