NPI 1417624966 · live from the CMS NPI Registry
Maria Anne Johnson, ARNP
Nurse Practitioner, Pediatrics in Johnston, IA. National Provider Identifier 1417624966, active.
NPI record
| NPI | 1417624966 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 5406 Merle Hay Rd, Johnston, IA 50131 |
| Practice phone | 515-971-4648 |
| Enumerated | August 24, 2021 |
| Last updated | August 24, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | c164820 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.