Individual
ANGELA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1040 S 11TH ST, DECATUR, IN 46733-2164
(260) 724-2911
(866) 418-1552
Mailing address
1040 S 11TH ST, DECATUR, IN 46733-2164
(260) 724-2911
(866) 418-1552
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71005963A
IN
363LF0000X
Family Nurse Practitioner
APRN.CNP.026071
OH
363LF0000X
Family Nurse Practitioner
COA.18021-NP
OH
Other
Enumeration date
08/26/2015
Last updated
03/14/2023
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