Individual
CONNIE DENISE JOHNSON-WILTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2933 PARK PLAZA LN, PORT ARTHUR, TX 77642-5516
(409) 983-1899
(409) 300-4310
Mailing address
2933 PARK PLAZA LN, PORT ARTHUR, TX 77642-5516
(409) 983-1899
(409) 300-4310
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
703409
TX
Other
Enumeration date
01/12/2018
Last updated
10/03/2023
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