Individual
RYAN SCOTT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
1825 LOGAN AVE, WATERLOO, IA 50703-1916
(319) 325-3613
Mailing address
505 DOWNING AVE, WATERLOO, IA 50701-2434
(319) 415-8421
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
152421
IA
163WR0006X
Registered Nurse First Assistant
152421
IA
Other
Enumeration date
08/22/2025
Last updated
09/05/2025
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