Johnson, Diane L
Johnson, Diane L is an individual health care provider with primary practice located at 500 W Fort St , Boise ID 83702-4501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Johnson, Diane L can be contacted via phone (208) 422-1108.Contact Information
Primary practice address
500 W Fort St
Boise ID 83702-4501
Phone: (208) 422-1108
Fax: (208) 422-1241
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | N6877 | Idaho |
Profile Details
| NPI number | 1225139900 |
|---|---|
| LBN Legal business name | Johnson, Diane L |
| Credentials | Clinical Nurse Specialist (CNS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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