Individual
HEATHER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16168 W SHERMAN ST, GOODYEAR, AZ 85338-2843
(928) 856-0483
Mailing address
16168 W SHERMAN ST, GOODYEAR, AZ 85338-2843
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
243779
AZ
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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