Johnson, Marissa Lynn

Johnson, Marissa Lynn is an individual health care provider with primary practice located at 1215 E Court St , Seguin TX 78155-5129. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Johnson, Marissa Lynn can be contacted via phone (830) 379-5867.

Contact Information

Primary practice address
1215 E Court St Seguin TX 78155-5129
Phone: (830) 379-5867
Fax: (830) 401-4035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X TBN573224 Texas

Profile Details

NPI number 1740256742
LBN Legal business name Johnson, Marissa Lynn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Oct 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740256742 NPPES
Texas MEDICAID 312189901
Texas Other 178028300
Texas Other 8554UD

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