Individual
KRISTEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5752
Mailing address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024171968
VA
Other
Enumeration date
10/17/2014
Last updated
02/02/2015
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