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Kaitlynn Johnson

Registered Nurse in Mesa, AZ. Individual provider (NPI-1).

NPI number1841024239
StatusActive
Last updated in NPPESAug 28, 2024

Details

NPI
1841024239
Entity type
Individual (NPI-1)
Name
Kaitlynn Johnson
Sex
Female
Sole proprietor
No
Enumeration date
Aug 28, 2024
Certification date
Aug 28, 2024
Last updated
Aug 28, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse292745AZYes

Practice location

463 S Alma School Rd
Mesa, AZ 85210-1014

Phone 480-472-9212

Mailing address

463 S Alma School Rd
Mesa, AZ 85210-1014

Other practice locations

828 S Valencia
Mesa, AZ 85202-2824

Phone 480-472-4229

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