Individual
MOLLY BETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1022 WOODBURY AVE, COUNCIL BLUFFS, IA 51503-7915
(712) 352-0405
(712) 352-0356
Mailing address
1022 WOODBURY AVE, COUNCIL BLUFFS, IA 51503-7915
(712) 352-0405
(712) 352-0356
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
112257
NE
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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