Individual
ANDRE'A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1655 HOLLAND RD STE F, MAUMEE, OH 43537-1656
(513) 834-7063
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1457
(513) 834-7063
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
164W00000X
Licensed Practical Nurse
Primary
LPN.171044.MEDS-IV
OH
Other
Enumeration date
02/20/2019
Last updated
03/23/2021
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