Individual
ANDREA RENEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2825 PARKLAWN DR, MIDWEST CITY, OK 73110-4201
(405) 610-8939
Mailing address
1217 STATON DR, OKLAHOMA CITY, OK 73111-5045
(405) 210-0606
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
88252
OK
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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