NPI 1699566448

Branden Emanuel Johnson, MEDICATIONAIDEHR

Practitioner Preferred Provider Organization Lincoln, NE

Practice location

Address: 829 W Sumner St, Lincoln, NE 68522-1640
Phone: (531) 220-1919
Fax: (531) 220-1919

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 26362 (NE)

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Registry record

NPI: 1699566448
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 May 2025
Record last updated: 13 May 2025

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.