Individual
NATASHA KAE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045
(928) 283-2501
Mailing address
PO BOX 4229, KAYENTA, AZ 86033-4229
(602) 920-6972
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
257944
AZ
Other
Enumeration date
08/02/2021
Last updated
04/05/2022
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