Organization
MODVIVA HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAWN JOHNSON-HUNTER AGPCNP (NURSE PRACTITIONER)
(443) 687-1421
Entity
Organization
Contact information
Practice address
6600 BELAIR RD STE 2B, BALTIMORE, MD 21206-1855
(443) 687-1421
Mailing address
6600 BELAIR RD STE 2B, BALTIMORE, MD 21206-1855
(443) 687-1421
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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