Individual
KRISTA LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 536-2376
Mailing address
17500 DARTMOUTH AVE, CLEVELAND, OH 44111-3943
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
COA. 10770-NP
OH
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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