Individual
MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 873-7003
Mailing address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
76060
TN
Other
Enumeration date
02/21/2007
Last updated
07/01/2011
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