Individual provider · NPI-1

Bailey Johnson

Case Manager/Care Coordinator · Tempe, AZ

NPI number1093452237
StatusActive
Last updated in NPPESMay 18, 2022

Details

NPI
1093452237
Entity type
Individual (NPI-1)
Name
Bailey Johnson
Sex
Female
Sole proprietor
No
Enumeration date
May 18, 2022
Certification date
May 18, 2022
Last updated
May 18, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

1330 W Auto Dr
Tempe, AZ 85284-1017

Phone 480-553-7153

Mailing address

1330 W Auto Dr
Tempe, AZ 85284-1017

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