Johnson, Mary Elizabeth

Johnson, Mary Elizabeth is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1009. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Johnson, Mary Elizabeth can be contacted via phone (319) 384-8473.

Contact Information

Primary practice address
200 Hawkins Dr Iowa City IA 52242-1009
Phone: (319) 384-8473
Fax: (319) 356-2587
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X J053450 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X J053450 Iowa

Profile Details

NPI number 1518953629
LBN Legal business name Johnson, Mary Elizabeth
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Dec 11th, 2007 - about 17 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 1518953629 NPPES
Iowa Other 04876 WELLMARK BCBS
Iowa MEDICAID 0420596 WELLMARK BCBS

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