Individual
MS. JOANN G JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2907 CHANTICLEER AVE, SANTA CRUZ, CA 95065-1815
(831) 477-2375
(831) 477-2380
Mailing address
2025 SOQUEL AVE, SANTA CRUZ, CA 95062-1323
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
115
HI
367A00000X
Advanced Practice Midwife
Primary
824
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00B027262
HMSA
HI
05
—
00B027262
—
HI
05
—
05527400
—
HI
05
—
541278
—
HI
01
—
7266549
UHA
HI
Enumeration date
03/21/2006
Last updated
05/15/2013
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