Individual
DR. MARIAH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
1720 NE 23RD ST, OKLAHOMA CITY, OK 73111-3324
(405) 280-5550
Mailing address
1720 NE 23RD ST, OKLAHOMA CITY, OK 73111-3324
(405) 280-5550
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
205276
OK
Other
Enumeration date
08/31/2021
Last updated
04/27/2022
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