Individual
HEIDI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-8630
(603) 650-2240
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-7334
(207) 626-1029
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
086110-23
NH
363LA2200X
Adult Health Nurse Practitioner
CNP151174
ME
Other
Enumeration date
11/19/2015
Last updated
10/07/2021
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