Organization
JOHNSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN ELIZABETH JOHNSON (MSN/FNP-C)
(520) 260-9962
Entity
Organization
Contact information
Practice address
825 S FORDHAM DR, TUCSON, AZ 85710-8758
(520) 260-9962
Mailing address
604 PINE ST, WELLSVILLE, KS 66092-8829
(520) 260-9962
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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