NPI 1386977130
Nichelle Rynette Johnson, LPN
Practice location
- Address
- 44150 W Maricopa Casa Grande Hwy, Maricopa, AZ 85138-5900
- Phone
- (520) 568-5100
- Mailing address
- 19522 N Comet Trl, Maricopa, AZ 85138-5814
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1386977130
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Sep 2009
- Record last updated
- 11 Sep 2009
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.