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Susie Johnson, CNA

Nurse's Aide in Tuba City, AZ. Individual provider (NPI-1).

NPI number1295086007
StatusActive
Last updated in NPPESSep 20, 2012

Details

NPI
1295086007
Entity type
Individual (NPI-1)
Name
Susie Johnson
Credential
CNA
Sex
Female
Sole proprietor
No
Enumeration date
Sep 20, 2012
Last updated
Sep 20, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's AideCNA792318353AZYes

Practice location

167 North Main Street
Tuba City, AZ 86045-0600

Phone 928-283-2501 · Fax 928-283-2677

Mailing address

P.O. Box 600
Tuba City, AZ 86045-0600

Phone 928-283-2501 · Fax 928-283-2677

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