Individual
OLGA BAEVA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
555 E BROADWAY AVE STE 201, JACKSON, WY 83001-8640
(307) 733-7222
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(307) 733-7222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
51089
WY
Other
Enumeration date
01/10/2023
Last updated
02/09/2023
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