Johnson, Rene

Johnson, Rene is an individual health care provider with primary practice located at 9420 Key West Ave Suite 415, Rockville MD 20850-3334. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Johnson, Rene can be contacted via phone (301) 279-9400.

Contact Information

Primary practice address
9420 Key West Ave Suite 415 Rockville MD 20850-3334
Phone: (301) 279-9400
Fax: (301) 279-0313
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R134332 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X R134332 Maryland

Profile Details

NPI number 1902120082
LBN Legal business name Johnson, Rene
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2010
Last updated Oct 30th, 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 1902120082 NPPES
Maryland MEDICAID 058443600

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