Individual
TIFFANY NICHOLE JOHNSON-DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
311 STRAIGHT STREET, MILLENIUM ANESTHESIA LLC, CINCINNATI, OH 45219
(859) 341-7246
(859) 341-7867
Mailing address
3131 S. DIXIE DRIVE, MORAINE, OH 45439-2223
(937) 293-0247
(937) 293-0960
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA09313-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000506905
ANTHEM
—
05
—
200855630
—
IN
05
—
2743455
—
OH
05
—
7100018220
—
KY
Enumeration date
03/12/2007
Last updated
09/29/2015
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