Individual
JOANN M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1072 N LIBERTY ST, SUITE 100, BOISE, ID 83704-8708
(208) 302-1200
(208) 302-1255
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 302-1200
(208) 302-1255
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CNM-47A
ID
367A00000X
Advanced Practice Midwife
N-36626
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807785500
—
ID
01
—
NPYT2
BLUE CROSS
ID
Enumeration date
05/26/2006
Last updated
11/10/2016
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