Individual
MS. ESSIE THERESA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
540 4TH AVE, 100, FAIRBANKS, AK 99701-4714
(907) 361-6370
(907) 353-6372
Mailing address
1201 N MULDOON RD, ANCHORAGE, AK 99504-6104
(907) 257-6791
(907) 257-6759
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN075259
GA
Other
Enumeration date
07/09/2011
Last updated
07/09/2011
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