Individual
SHARON R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1400 SENATE AVE STE 102, RED OAK, IA 51566-1271
(712) 623-6335
Mailing address
1400 SENATE AVE STE 102, RED OAK, IA 51566-1271
(712) 623-6335
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F055284
NE
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
055284
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548292246
—
IA
05
—
91185843316
—
NE
Enumeration date
07/06/2006
Last updated
08/31/2022
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