Individual
MRS. SUE ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
37100 N GANTZEL RD STE 201, SAN TAN VALLEY, AZ 85140-7352
(480) 394-4469
Mailing address
5698 W SAND CT, SAN TAN VALLEY, AZ 85142-3166
(520) 509-5544
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
288408
AZ
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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