Individual
MICHAEL ANTHONY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, ACNP
Contact information
Practice address
6200 REGIONAL PLZ, SUITE 1200, ABILENE, TX 79606-5250
(325) 690-1805
(325) 690-6145
Mailing address
102 WAVERLY CIR, ABILENE, TX 79602-6858
(325) 690-1805
(325) 690-6145
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
533709
TX
363LA2100X
Acute Care Nurse Practitioner
533709
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
533709
RN LIC STATE OF TEXAS
TX
Enumeration date
04/17/2007
Last updated
07/21/2023
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