Individual
MRS. ELIZABETH K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
1475 TANEY AVE, STE 201, FREDERICK, MD 21702-4747
(301) 662-0133
(240) 379-6710
Mailing address
1475 TANEY AVE, STE 201, FREDERICK, MD 21702-4747
(301) 662-1930
(240) 379-6710
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R128833
MD
Other
Enumeration date
08/25/2008
Last updated
07/20/2010
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