Individual
ANGELA RENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1230 E 6TH AVE STE 1B, WINFIELD, KS 67156-3144
(620) 221-4000
Mailing address
1230 E 6TH AVE STE 1B, WINFIELD, KS 67156-3144
(620) 221-4000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-144413-121
KS
363LF0000X
Family Nurse Practitioner
Primary
53-79303-121
KS
Other
Enumeration date
11/20/2019
Last updated
02/12/2020
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