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Individual

TRISTIN MICHAEL JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1141 PEAR TREE LN, SUITE 100, NAPA, CA 94558-6484
(707) 254-1770
Mailing address
1141 PEAR TREE LN, SUITE 100, NAPA, CA 94558-6484
(707) 254-1770

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
695830
CA
163WC1500X
Community Health Registered Nurse
73737
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
22192
CA

Other

Enumeration date
08/18/2008
Last updated
07/21/2014
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