Individual
HALEY MEGAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1805 CALUMET AVE, VALPARAISO, IN 46383-3130
(219) 464-2141
Mailing address
335 KRISTIE CT APT 1, CROWN POINT, IN 46307-3863
(219) 765-8890
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28236722A
IN
363LF0000X
Family Nurse Practitioner
Primary
71013663A
IN
Other
Enumeration date
03/01/2023
Last updated
03/14/2023
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