Individual
MARION SUE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 W MORENO ST, PENSACOLA, FL 32501-2316
(850) 434-4011
Mailing address
5721 PERTH CT, MILTON, FL 32583-1841
(850) 501-2668
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-089864
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP620262
FL
Other
Enumeration date
06/19/2006
Last updated
11/29/2010
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