Individual
SHANNA PATRICIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7151 E RANCHO VISTA DR UNIT 1012, SCOTTSDALE, AZ 85251-1588
(503) 970-9582
Mailing address
7151 E RANCHO VISTA DR UNIT 1012, SCOTTSDALE, AZ 85251-1588
(503) 970-9582
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN148985
AZ
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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