Individual
ANDREA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 NE 13TH ST, OKLAHOMA CITY, OK 73104-5004
(405) 271-4700
Mailing address
5200 E DANFORTH RD, EDMOND, OK 73034-7503
(405) 919-3758
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0099125
OK
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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