Individual
MRS. MICHAELA JO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6292
Mailing address
101 S MOORE AVE, CLAREMORE, OK 74017-5091
(918) 342-6292
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
126605
OK
Other
Enumeration date
01/06/2019
Last updated
01/06/2019
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