Individual
CHRISTINA JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
750 ORIENTA AVE, ALTAMONTE SPRINGS, FL 32701-5621
(407) 553-7710
(866) 445-1446
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9385344
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110431800
—
FL
Enumeration date
09/01/2018
Last updated
07/08/2024
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