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Individual

ALEXANDREA RENEA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, FNP

Contact information

Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 945-6909
Mailing address
PO BOX 411851, KANSAS CITY, MO 64141-1851
(913) 945-6909

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-76067-111
KS

Other

Enumeration date
08/12/2013
Last updated
07/28/2014
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