Individual
JOHNA ANN RADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
500 ARCADE AVE STE 320, ELKHART, IN 46514-2485
(574) 523-7900
(574) 523-7909
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-3725
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28147796A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300131287
—
IN
Enumeration date
10/25/2019
Last updated
07/17/2026
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