Johnson, Troy Lee

Johnson, Troy Lee is an individual health care provider with primary practice located at 200 W. Hospital Dr , Whiteriver AZ 85941-0860. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Johnson, Troy Lee can be contacted via phone (928) 338-4911.

Contact Information

Primary practice address
200 W. Hospital Dr Whiteriver AZ 85941-0860
Phone: (928) 338-4911
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP1681 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 062492-23 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CRNA0700 Arizona

Profile Details

NPI number 1619080280
LBN Legal business name Johnson, Troy Lee
Credentials CFNP, CRNA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Feb 22nd, 2013 - about 11 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 1619080280 NPPES
Arizona MEDICAID 851213

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