Individual
MICHELLE ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 280-7056
Mailing address
2500 OVERLOOK TER, MADISON, WI 53705-2254
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
150901
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150901
WISCONSIN DEPT OF SAFETY AND PROFESSIONAL SERVICES
WI
Enumeration date
12/15/2022
Last updated
12/15/2022
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