Individual
MRS. MARCIA MARIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP, MSN, RN, OCN
Contact information
Practice address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-2588
Mailing address
301 NW 145TH ST, MIAMI, FL 33168-4149
(305) 496-5697
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2165372
FL
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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