Doctor Name: | KAREN L. JOHNSON |
NPI Number: | 1073841227 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNA |
License Number: | R26738 |
Business Practice Address: | 1301 15th Ave W Williston, ND - 588013821 |
Business Phone Number: | 7017747400 |
Business Fax Number: | 7017747479 |
Mailing Address: | 204 Chestnut St, GRAND FORKS |
State: | ND |
Postal Code: | 582014662 |
Phone Number: | 7017878716 |
Fax Number: | |
NPI Enumeration Date: | 11/30/2009 |
NPI Last Update Date: | 11/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0000X |
License Number: | R26738 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Pain Management |
Taxonomy Definition: |