Individual
MS. HANNAH AMANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7642 BELAIR RD, NOTTINGHAM, MD 21236-4088
(410) 665-3093
(410) 665-1975
Mailing address
7642 BELAIR RD, NOTTINGHAM, MD 21236-4088
(410) 665-3093
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0007767
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881059236
LAURING DERMATOLOGY LLC
MD
Enumeration date
11/03/2020
Last updated
01/21/2021
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