Individual
SARAH M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1911 N WEBB RD, WICHITA, KS 67206
(316) 682-7546
(316) 682-7554
Mailing address
1911 N WEBB RD, WICHITA, KS 67206-3405
(316) 682-7546
(316) 682-7554
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-76337-081
KS
363LF0000X
Family Nurse Practitioner
201250188NP
OR
363LF0000X
Family Nurse Practitioner
AP60316269
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12705301
CAQH
—
Enumeration date
06/09/2014
Last updated
05/23/2018
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