NPI 1003537564

Mattie Raydon Johnson

Practitioner Family Nurse Practitioner Torrington, WY

Practice location

Address: 625 Albany Ave, Torrington, WY 82240-1530
Phone: (307) 532-2107

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 44901 (WY)

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Registry record

NPI: 1003537564
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Sep 2022
Record last updated: 2 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.