Individual
ANGEL J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
859 DAYS DR, SUTTON, WV 26601-6255
(304) 765-2861
Mailing address
PO BOX 953, COWEN, WV 26206-0953
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN56238NP
WV
Other
Enumeration date
08/04/2015
Last updated
01/05/2022
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