Individual
SUSAN DOW JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, MSN
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
LNM000096
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000096
CONNECTICARE
—
01
—
0Q2709
HEALTHNET
—
01
—
400000096CT01
ANTHEM
CT
01
—
P2646485
OXFORD HEALTH PLANS
—
Enumeration date
06/30/2005
Last updated
09/21/2007
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