Joann M Johnson, CNM | |
1072 N Liberty St, Suite 100, Boise, ID 83704-8708 | |
(208) 302-1200 | |
(208) 302-1255 |
Full Name | Joann M Johnson |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 1072 N Liberty St, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801842257 | NPI | - | NPPES |
NPYT2 | Other | ID | BLUE CROSS |
807785500 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | N-36626 (Idaho) | Secondary |
367A00000X | Advanced Practice Midwife | CNM-47A (Idaho) | Primary |
Entity Name | Saint Alphonsus Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
Mailing Address | Practice Location Address |
---|---|
Joann M Johnson, CNM 3340 E Goldstone Way, Meridian, ID 83642-1026 Ph: (208) 302-1200 | Joann M Johnson, CNM 1072 N Liberty St, Suite 100, Boise, ID 83704-8708 Ph: (208) 302-1200 |
Sophie Tobeck, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 207 W Washington St, Boise, ID 83702 Phone: 208-343-2079 Fax: 208-343-6828 | |
Ashley Rochelle Lanham, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 207 W Washington St, Boise, ID 83702 Phone: 208-343-2079 Fax: 208-343-6868 | |
Mrs. Megan Ashley Kitterman, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 333 N 1st St Ste 260, Boise, ID 83702 Phone: 208-345-3136 Fax: 208-345-0984 | |
Margaret L Widener, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 6140 Curtisian Ave, Suite 100, Boise, ID 83704 Phone: 208-302-1200 Fax: 208-302-1255 | |
Georgianna T Ainslie, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 5966 Curtisian Ave, Boise, ID 83704 Phone: 208-375-8100 Fax: 208-373-2643 | |
Hannah Elisabeth Underdahl, RN, MSN, CNM, WHNP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6565 W Emerald St, Boise, ID 83704 Phone: 208-514-2510 Fax: 208-375-2217 | |
Ms. Amber Wilson, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 207 W Washington St, Unit A, Boise, ID 83702 Phone: 208-343-2079 |