Johnson, Katherine Rose

Johnson, Katherine Rose is an individual health care provider with primary practice located at 111 Auburn St , Portland ME 04103-2103. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse First Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Johnson, Katherine Rose can be contacted via phone (207) 799-3393.

Contact Information

Primary practice address
111 Auburn St Portland ME 04103-2103
Phone: (207) 799-3393
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X 163WR0006X Maine
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP161218 Maine

Profile Details

NPI number 1518491950
LBN Legal business name Johnson, Katherine Rose
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2017
Last updated May 9th, 2024 - about 6 months 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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