Individual
CAROLYN ILENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
516 DIVISION ST STE 110, CEDAR FALLS, IA 50613-2381
(319) 268-3550
(319) 268-3855
Mailing address
5228 E EAGLE RD, LA PORTE CITY, IA 50651-2116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
102947
IA
Other
Enumeration date
07/11/2011
Last updated
01/06/2017
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