Individual
MAUREEN LORRAINE GAY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1982 W MAIN ST STE 101, MESA, AZ 85201-6917
(480) 677-8282
(480) 535-0962
Mailing address
517 N RAMUNNO DR, MIDDLETOWN, DE 19709-3047
(215) 364-8412
(215) 364-8730
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP8969
AZ
363LA2200X
Adult Health Nurse Practitioner
SP010677
PA
Other
Enumeration date
01/19/2010
Last updated
05/28/2019
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