Organization
CHARLA JOHANSEN- NURSE PRACTITIONER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLA JOHANSEN (PROVIDER)
(928) 204-4900
Entity
Organization
Contact information
Practice address
95 SOLDIERS PASS RD STE B1, SEDONA, AZ 86336-4712
(928) 204-4900
Mailing address
95 SOLDIERS PASS RD STE B1, SEDONA, AZ 86336-4712
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/26/2022
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