Individual
KATHERINE ROSE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
92 CAMPUS DR, SCARBOROUGH, ME 04074-7228
(207) 797-5753
Mailing address
92 CAMPUS DR, SCARBOROUGH, ME 04074-7228
(207) 797-5753
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
163WR0006X
ME
363LF0000X
Family Nurse Practitioner
Primary
CNP161218
ME
Other
Enumeration date
04/12/2017
Last updated
12/09/2025
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