Individual
ELIZABETH JOHANSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
30 BERGEN ST, NEWARK, NJ 07107-3000
(973) 972-2513
Mailing address
26 WITHERSPOON ST, WHITEHOUSE STATION, NJ 08889-3915
(908) 534-4096
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NO09780800
NJ
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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