Individual
NATHANIEL JAMES JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSN, RN
Contact information
Practice address
37101 JEFFERSON CT APT 579, FARMINGTON HILLS, MI 48335-1833
(734) 497-0182
Mailing address
37101 JEFFERSON CT APT 579, FARMINGTON HILLS, MI 48335-1833
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704307665
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704307665
MI
Other
Enumeration date
06/07/2022
Last updated
09/11/2024
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