NPI 1629266424

Victoria L Johnson, CFH

Practitioner Preferred Provider Organization Nampa, ID

Practice location

Address: 18168 Spicebush Ave, Nampa, ID 83687-5003
Phone: (208) 467-1943

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 30573 (ID)

Other Preferred Provider Organization providers in Idaho →

Registry record

NPI: 1629266424
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Oct 2007
Record last updated: 5 Oct 2007

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.