Johnson, Laura

Johnson, Laura is an individual health care provider with primary practice located at 1200 N Beaver St , Flagstaff AZ 86001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Johnson, Laura can be contacted via phone (928) 773-0003.

Contact Information

Primary practice address
1200 N Beaver St Flagstaff AZ 86001
Phone: (928) 773-0003
Fax: (928) 773-1170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN261695 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 229669 Arizona

Profile Details

NPI number 1295268415
LBN Legal business name Johnson, Laura
Credentials ACNPC-AG
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2017
Last updated May 19th, 2023 - about last year

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 1295268415 NPPES
Arizona MEDICAID 573244

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