Johnson, Debralee Denise

Johnson, Debralee Denise is an individual health care provider with primary practice located at Hwy 160, S M.P. 394.3 , Kayenta AZ 86033-0368. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Johnson, Debralee Denise can be contacted via phone (928) 697-4000.

Contact Information

Primary practice address
Hwy 160, S M.P. 394.3 Kayenta AZ 86033-0368
Phone: (928) 697-4000
Fax: (928) 697-4145
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 171941 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 219637 Arizona

Profile Details

NPI number 1083855860
LBN Legal business name Johnson, Debralee Denise
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2009
Last updated Sep 10th, 2019 - about 6 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 1083855860 NPPES
Arizona MEDICAID 060012

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