Individual
MRS. MARIE THERESE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.N., F.N.P.-BC
Contact information
Practice address
3536 W GLENDALE AVE, PHOENIX, AZ 85051-8395
(480) 618-0177
(620) 371-2243
Mailing address
PO BOX 746093, ATLANTA, GA 30374-6093
(773) 352-1515
(321) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP8806
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3434247
—
MI
Enumeration date
01/04/2007
Last updated
07/22/2026
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