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Individual

DIANE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN/CNM

Contact information

Practice address
6829 N 72ND ST STE 4500, OMAHA, NE 68122-1724
(402) 572-3790
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
71822
NE
367A00000X
Advanced Practice Midwife
120042
NE
367A00000X
Advanced Practice Midwife
Primary
120092
NE

Other

Enumeration date
04/01/2022
Last updated
05/09/2022
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