Andjela V Drake Johnston, RN
Registered Nurse in Milwaukee, WI. Individual provider (NPI-1).
NPI number1023934775
StatusActive
Last updated in NPPESJun 26, 2026
Details
- NPI
- 1023934775
- Entity type
- Individual (NPI-1)
- Name
- Andjela V Drake Johnston
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2026
- Certification date
- Jun 26, 2026
- Last updated
- Jun 26, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 145703-30 | WI | Yes |
Practice location
3485 N Maryland AveMilwaukee, WI 53211-2904
Phone 414-232-1074
Mailing address
3485 N Maryland AveMilwaukee, WI 53211-2904
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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