NPI 1457096885
Nicole Johnson
Practice location
- Address
- 4225 E University Dr APT 128, Mesa, AZ 85205-7092
- Phone
- (719) 321-5099
- Mailing address
- 1361 S Greenfield Rd APT 1059, Mesa, AZ 85206-3391
Registered specialties (2)
Adult Companion
Primary
Adult Companion
Registry record
- NPI
- 1457096885
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Apr 2022
- Record last updated
- 5 Feb 2024
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.