Johansen, Joann G

Johansen, Joann G is an individual health care provider with primary practice located at 2907 Chanticleer Ave , Santa Cruz CA 95065-1815. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Johansen, Joann G can be contacted via phone (831) 477-2375.

Contact Information

Primary practice address
2907 Chanticleer Ave Santa Cruz CA 95065-1815
Phone: (831) 477-2375
Fax: (831) 477-2380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 115 Hawaii
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 824 California

Profile Details

NPI number 1922067628
LBN Legal business name Johansen, Joann G
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated May 15th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922067628 NPPES
Hawaii Other 00B027262 HMSA
Hawaii Other 7266549 HMSA
Hawaii Other 00B027262 HMSA
Hawaii MEDICAID 00B027262 HMSA
Hawaii MEDICAID 541278 HMSA
Hawaii MEDICAID 05527400 HMSA

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