Individual
MS. TERRI JOANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4901 COLLEGE BLVD, LEAWOOD, KS 66211-1602
(816) 478-4200
(816) 875-2598
Mailing address
5101 COLLEGE BLVD, LEAWOOD, KS 66211-1614
(816) 478-4200
(816) 875-2598
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-78852-072
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
55447
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200333130B
—
KS
Enumeration date
03/02/2006
Last updated
07/29/2024
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