Individual
MISS VIRGINIA MAY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3881 SUGAR MAPLE DRIVE, WPAFB, OH 45433
(937) 257-8655
Mailing address
2848 NEW GERMANY TREBEIN RD, BEAVERCREEK, OH 45431-8531
(757) 620-3881
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
052923
VA
Other
Enumeration date
01/30/2006
Last updated
10/31/2016
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