Individual
MRS. JANET S JOHANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP RN
Contact information
Practice address
3260 KERNER BLVD, SAN RAFAEL, CA 94901-4861
(415) 473-6852
(415) 473-4018
Mailing address
131 HIGHLAND AVE, SAN RAFAEL, CA 94901-2247
(415) 456-0620
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
199279
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
2008
CA
Other
Enumeration date
09/21/2006
Last updated
12/17/2008
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