Individual
MARITZA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(317) 499-2606
Mailing address
11122 TURFGRASS WAY, INDIANAPOLIS, IN 46236-8321
(317) 374-5181
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
71004666A
IN
Other
Enumeration date
11/26/2013
Last updated
07/07/2020
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