Individual
PAUL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
61 N WILLOW ST, SUITE 4, MESQUITE, NV 89027-4785
(702) 346-4696
(702) 346-4699
Mailing address
4126 TECHNOLOGY WAY, SUITE 102, CARSON CITY, NV 89706-2066
(775) 687-7573
(775) 687-7544
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN52553
NV
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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