Individual
HEIDI N/A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3930 HOWARD HUGHES PKWY STE 300, LAS VEGAS, NV 89169-0946
(702) 550-2192
Mailing address
2297 OUTSIDE BLVD, NORTH POLE, AK 99705-6308
(702) 301-3032
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN69200
NV
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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