Individual
PATRINA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6102 BELVEDERE BLVD, OMAHA, NE 68111-1275
(402) 515-9318
Mailing address
6102 BELVEDERE BLVD, OMAHA, NE 68111-1275
(402) 515-9318
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
72781
NE
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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