| NPI | 1700973161 |
|---|---|
| Former Name | LINDSEY MARIE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP2545) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2545) |
| 363L00000X Nurse Practitioner (Licence: AZ RN140265) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-09-03 |