Individual
REGINA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3311 N 44TH ST, PHOENIX, AZ 85018-6461
(480) 882-7360
(480) 587-5866
Mailing address
3311 N 44TH ST, PHOENIX, AZ 85018-6461
(480) 882-4360
(480) 587-5866
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP11284
AZ
Other
Enumeration date
03/25/2017
Last updated
10/01/2024
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