Individual
ANNA MARIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 N H ST, BROKEN BOW, NE 68822-1262
(308) 872-2982
(308) 872-6349
Mailing address
323 S 7TH AVENUE, BROKEN BOW, NE 68822
(308) 872-6821
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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