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Individual

ROBERTA S. JOHNSON-SEAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP-C

Contact information

Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5023519
NC
363L00000X
Nurse Practitioner
9186976
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000670600
FL
01
E8923Q
MEDICARE
FL
Enumeration date
08/01/2006
Last updated
11/19/2025
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