Individual
FARSHA DETRE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3310 MERCY HEALTH BLVD STE 110, CINCINNATI, OH 45211-1121
(513) 215-5030
Mailing address
3310 MERCY HEALTH BLVD STE 110, CINCINNATI, OH 45211-1121
(513) 215-5030
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APRN.CNP.0030014
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.0030014
OH
Other
Enumeration date
10/20/2021
Last updated
03/20/2024
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