Individual
MS. CAROLYN MARIE JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ANP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
004792
CT
363L00000X
Nurse Practitioner
SP011097
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
201350105NP
OR
363LA2200X
Adult Health Nurse Practitioner
SP011097
PA
Other
Enumeration date
12/14/2010
Last updated
06/12/2013
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