Individual
MR. SCOTT A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
10 WOODLAND ROAD, SAINT HELENA, CA 94574-9554
(707) 963-3611
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA2216
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116133100
FIRSTCARE
TX
05
—
140574801
—
TX
05
—
RN4302040
—
CA
Enumeration date
10/07/2005
Last updated
05/31/2022
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