Johnson, Mary Beth

Johnson, Mary Beth is an individual health care provider with primary practice located at 401 E 8Th St Ste 230, Sioux Falls SD 57103-7011. 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, Mary Beth can be contacted via phone (605) 334-5099.

Contact Information

Primary practice address
401 E 8Th St Ste 230 Sioux Falls SD 57103-7011
Phone: (605) 334-5099
Fax: (605) 333-0245
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CNP0203 South Dakota

Profile Details

NPI number 1063419471
LBN Legal business name Johnson, Mary Beth
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated May 27th, 2009 - about 15 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 1063419471 NPPES
South Dakota MEDICAID 6826094

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