Individual
MRS. MARIA ANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 971-4648
Mailing address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 971-4648
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
C164820
IA
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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