Individual
ANGELICA M. JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
1203 15 ST., FORT BENTON, MT 59442
(406) 622-5485
(406) 622-3882
Mailing address
PO BOX 249, FORT BENTON, MT 59442-0249
(406) 622-5485
(406) 622-3882
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN23658
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0438568
—
MT
Enumeration date
10/31/2005
Last updated
07/08/2007
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