Johnson, Kimberly Marie
Johnson, Kimberly Marie is an individual health care provider with primary practice located at 24 Frank Lloyd Wright Dr , Ann Arbor MI 48105-9484. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Johnson, Kimberly Marie can be contacted via phone (734) 998-6022.Contact Information
Primary practice address
24 Frank Lloyd Wright Dr
Ann Arbor MI 48105-9484
Phone: (734) 998-6022
Fax: (734) 998-9139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704207635 | Michigan |
Profile Details
| NPI number | 1679546865 |
|---|---|
| LBN Legal business name | Johnson, Kimberly Marie |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Nov 25th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679546865 | NPPES |
| Michigan | MEDICAID | 4830324-10 | |
| Michigan | Other | 5008657390 |
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