Individual
JOSHUA K JOHNSON
Active
Individual
JOSHUA K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041292231
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209007006
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005017522
RN LICENSE
MO
01
—
214881
MULTISPECIALTY GROUP PTAN
IL
Enumeration date
12/24/2007
Last updated
06/04/2021
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