Doctor Name: | BEVERLY JOAN JOHNSTON |
NPI Number: | 1013141159 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 361862 |
Business Practice Address: | 18432 Gridley Rd Artesia, CA - 907015404 |
Business Phone Number: | 5628602479 |
Business Fax Number: | 5628607109 |
Mailing Address: | 18432 Gridley Road, ARTESIA |
State: | CA |
Postal Code: | 907015404 |
Phone Number: | 5628602479 |
Fax Number: | 5628607109 |
NPI Enumeration Date: | 05/04/2009 |
NPI Last Update Date: | 08/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 361862 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |