Individual
KRISTIN MARIAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15744 E YUCCA DR, FOUNTAIN HILLS, AZ 85268-3164
(406) 600-7588
Mailing address
15744 E YUCCA DR, FOUNTAIN HILLS, AZ 85268-3164
(406) 600-7588
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
29346
MT
363LF0000X
Family Nurse Practitioner
Primary
332599
AZ
363LF0000X
Family Nurse Practitioner
NP720A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010152871
BLUE SHIELD
ID
05
—
807303400
—
ID
01
—
NPWR5
BLUE CROSS
ID
01
—
P00269935
RAILROAD RETIREMENT BOARD
—
Enumeration date
03/14/2006
Last updated
07/24/2026
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