Individual
MELISSA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4836 E WILLIAMS DR, PHOENIX, AZ 85054-6169
(480) 502-2273
Mailing address
4836 E WILLIAMS DR, PHOENIX, AZ 85054-6169
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN137130
AZ
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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