Individual
CAROL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 LOTHROP ST, SUITE 100, PITTSBURGH, PA 15213-2536
(412) 647-6485
Mailing address
200 LOTHROP ST, SUITE 100, PITTSBURGH, PA 15213-2536
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP001114B
PA
Other
Enumeration date
02/16/2007
Last updated
06/23/2021
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