NPI 1902081789

Kristin Erin Johnston, CNM

Practitioner Advanced Practice Midwife Suffolk, VA

Practice location

Address: 100 Carriage House Dr, Suffolk, VA 23434-9219
Phone: (612) 605-4585

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 0024165711 (VA)

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Registry record

NPI: 1902081789
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Dec 2007
Record last updated: 30 Dec 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.