Nadine Irene Johnson, RN
Individual provider Active NPI Registered Nurse · Mohave Valley, AZ
NPI 1003108499 · NPPES record last updated May 4, 2011
Key facts
- NPI
- 1003108499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 710223 (CA)
- Practice address
- 1607 Plantation Rd
Mohave Valley, AZ 86440-8420 - Phone
- (928) 346-4679
- Fax
- (928) 346-4686
- NPI assigned
- May 4, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN153520 | AZ | MD | Registered Nurse |
| 710223 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 710223 | CA | Yes |
| Registered Nurse | 163W00000X | RN153520 | AZ |
Addresses
Primary practice location
1607 Plantation Rd
Mohave Valley, AZ 86440-8420
Mailing address
1607 Plantation Rd
Mohave Valley, AZ 86440-8420
Phone (928) 346-4679
Other providers in Mohave Valley, AZ
- Julia S Goodwin
- Ann M Guimond
- Sheila Ann Halbert
- Cynthia Lenette Harper
- William Benjamin Hookstra
- Sonja Angelique Mann
- Mary A Mattox
- Daniela Isabel McCormick
- Sonja Ranae McGraw
- Jeffrey Hainlin Miller
All providers in Mohave Valley, AZ · Registered Nurse in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.