Individual
MARILYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
168534
CO
367500000X
Certified Registered Nurse Anesthetist
630364
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP112459
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37526308
—
CO
Enumeration date
09/30/2006
Last updated
09/17/2020
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