Individual
MR. TROY LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFNP, CRNA
Contact information
Practice address
200 W. HOSPITAL DR, WHITERIVER, AZ 85941-0860
(928) 338-4911
Mailing address
PO BOX 860, 200 W HOSPITAL DR, WHITERIVER, AZ 85941
(928) 338-4911
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP1681
AZ
367500000X
Certified Registered Nurse Anesthetist
062492-23
NH
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0700
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
851213
—
AZ
Enumeration date
08/16/2006
Last updated
02/22/2013
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