Individual
MRS. ANITA S PHILIP-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PMHNP
Contact information
Practice address
1501 N GILBERT RD STE 206, GILBERT, AZ 85234-2394
(801) 694-9492
Mailing address
1613 HARVEST GLEN DR, ALLEN, TX 75002-8384
(972) 310-3555
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
256481
AZ
Other
Enumeration date
03/27/2020
Last updated
07/06/2021
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