| Andrea Johnson, | |
|
21203 N Hart Pl, Detroit, MI 48220-2108 | |
| (248) 688-5065 | |
| Not Available |
| Full Name | Andrea Johnson |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 21203 N Hart Pl, Detroit, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861866147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703111959 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Johnson, 21203 N. Hart Pl., Detroit, MI 48220 Ph: (248) 688-5065 | Andrea Johnson, 21203 N Hart Pl, Detroit, MI 48220-2108 Ph: (248) 688-5065 |
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