Individual
CHRISTINA SUSANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
11749 W LONE MOUNTAIN PKWY UNIT 105, PEORIA, AZ 85383-6801
(480) 677-8282
(844) 470-2777
Mailing address
261 N ROOSEVELT AVE, CHANDLER, AZ 85226-2617
(480) 677-8282
(844) 470-2777
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
101.0137534
VT
363LF0000X
Family Nurse Practitioner
13794235-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
317529
AZ
363LF0000X
Family Nurse Practitioner
AP61635778
WA
363LF0000X
Family Nurse Practitioner
APRN.CNP.0038228
OH
363LF0000X
Family Nurse Practitioner
C-APN.0103396-C-NP
CO
363LF0000X
Family Nurse Practitioner
RN176056
GA
363LF0000X
Family Nurse Practitioner
TPAN2704
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171842
—
AZ
Enumeration date
08/10/2010
Last updated
07/01/2025
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