Individual
DIANA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 N 5TH AVE, PHOENIX, AZ 85003-1225
(602) 257-3889
(602) 257-6077
Mailing address
222 3RD AVE W, BUCKEYE, AZ 85326-1004
(623) 628-8058
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN147753
AZ
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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