Individual
LINDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30687 HIDDEN PINES LN, ROSEVILLE, MI 48066-7303
(586) 883-4480
Mailing address
30687 HIDDEN PINES LN, ROSEVILLE, MI 48066-7303
(586) 883-4480
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704149664
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704149664
STATE
MI
Enumeration date
03/07/2014
Last updated
03/07/2014
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