Individual
MRS. ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 MAIN ST, NORTH ANDOVER, MA 01845-2410
(978) 682-3300
Mailing address
105 SALEM ST, ANDOVER, MA 01810-2210
(978) 475-3372
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
128034
MA
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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