Individual
MISS NATALIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1322 FAIRFIELD CT, LANCASTER, TX 75134-4160
(214) 471-5391
Mailing address
1322 FAIRFIELD CT, LANCASTER, TX 75134-4160
(214) 471-5391
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
300691
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500016353
—
TX
Enumeration date
07/01/2020
Last updated
07/01/2020
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