Individual
MARY ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
VA PITTSBURGH HEALTH CARE SYSTEM UNIVERSITY DRIVE C,, 111C, PITTSBURGH, PA 15240-1001
(412) 688-6176
(412) 688-6904
Mailing address
1030 DUNCAN LN, PITTSBURGH, PA 15236-1678
(412) 881-6663
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
TP003837M
PA
Other
Enumeration date
09/11/2006
Last updated
07/08/2007
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