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Individual

DR. MARIA ELENA JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNAP, CRNA

Contact information

Practice address
33155 ANNAPOLIS ST, WAYNE, MI 48184-2405
(734) 467-4667
(734) 467-2303
Mailing address
33155 ANNAPOLIS ST, WAYNE, MI 48184-2405
(734) 467-4667
(734) 467-2303

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704180960
MI
367500000X
Certified Registered Nurse Anesthetist
APRN.CRNA.0020289
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4171070
MI
05
4343657
MI
05
4720000
MI
Enumeration date
11/01/2006
Last updated
05/27/2021
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