Individual
EMILY L YOUNG JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
901 MONTGOMERY ST, DECORAH, IA 52101-2325
(563) 382-2911
(563) 387-3102
Mailing address
901 MONTGOMERY ST, DECORAH, IA 52101-2325
(563) 382-2911
(563) 387-3102
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
B103305
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1444158
—
IA
01
—
B103305
LICENSE NUMBER
IA
Enumeration date
07/11/2005
Last updated
08/06/2013
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