Individual
BRENDA MAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
EAST HWY 18, PINE RIDGE, SD 57770
(605) 867-5131
Mailing address
PO BOX 293, HAY SPRINGS, NE 69347-0293
(605) 867-5131
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110710
NE
Other
Enumeration date
02/28/2006
Last updated
01/11/2012
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