Individual
NATALIE MA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2880 ATLANTIC AVE STE 170, LONG BEACH, CA 90806-1714
(562) 492-9900
(562) 492-9902
Mailing address
2880 ATLANTIC AVE STE 170, LONG BEACH, CA 90806-1714
(562) 492-9900
(562) 492-9902
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
742347
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
22866
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043640063
CARDIN HEALTHCARE
CA
01
—
22866
CALIFORNIA STATE NURSE PRACTITIONER LICENSE
CA
Enumeration date
07/23/2013
Last updated
08/07/2014
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