Individual
MS. MEGAN JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
175 MADISON AVE, MOUNT HOLLY, NJ 08060-2038
(609) 261-1660
(609) 261-4454
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(954) 839-2569
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR14408000
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00362800
NJ
Other
Enumeration date
01/03/2012
Last updated
04/02/2013
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