Individual
DEBRA A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10030 GILEAD RD, HUNTERSVILLE, NC 28078-7545
(704) 384-4274
(704) 384-5636
Mailing address
160 POLIDIS ROAD, MOORESVILLE, NC 28112
(704) 799-0865
(704) 384-5636
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
038200
NC
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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