Wayne Johnson, CRNA
Nurse Anesthetist, Certified Registered in Ord, NE. Individual provider (NPI-1).
NPI number1467566331
StatusActive
Last updated in NPPESMay 13, 2015
Details
- NPI
- 1467566331
- Entity type
- Individual (NPI-1)
- Name
- Wayne Johnson
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2006
- Last updated
- May 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 100500 | NE | Yes |
Practice location
120 N 21st StOrd, NE 68862-1320
Phone 402-699-0736 · Fax 402-343-8765
Mailing address
120 N 21st StOrd, NE 68862-1320
Phone 402-699-0736 · Fax 402-343-8765
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