Arlene Johnson, PA-C
Physician Assistant in Bethesda, MD. Individual provider (NPI-1).
NPI number1508176751
StatusActive
Last updated in NPPESFeb 2, 2024
Details
- NPI
- 1508176751
- Entity type
- Individual (NPI-1)
- Name
- Arlene Johnson
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2010
- Certification date
- Feb 2, 2024
- Last updated
- Feb 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 50.008534RX | OH | Yes |
| 363AM0700X | Physician Assistant, Medical | C0008243 | MD | |
| 363AM0700X | Physician Assistant, Medical | PA60196290 | WA |
Practice location
4701 Sangamore Rd Ste N270Bethesda, MD 20816-2528
Phone 240-507-5110
Mailing address
4701 Sangamore Rd Ste N270Bethesda, MD 20816-2528
Phone 240-507-5110
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