NPI Profile for MARY T JOHNSON in WHEATON, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Community Health |
163WC1500X |
| NPI Number | 1982781555 |
|
| Status | Active | |
| Credentials | RN, APN-BC | |
| Entity | Individual | |
| Enumeration date | 11/01/2006 | |
| Last updated | 11/30/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARY T JOHNSON
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