| Doctor Name: | MRS. CLAUDIA VICTORIA CANO JOHNSON |
| NPI Number: | 1013963024 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | RN135756 |
| Business Practice Address: | 2739 Felton Dr East Point, GA - 303443603 |
| Business Phone Number: | 4047668371 |
| Business Fax Number: | 4047673926 |
| Mailing Address: | 1639 Academy Sq, COLLEGE PARK |
| State: | GA |
| Postal Code: | 303371404 |
| Phone Number: | 4047662949 |
| Fax Number: | |
| NPI Enumeration Date: | 05/25/2006 |
| NPI Last Update Date: | 04/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | RN135756 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |