Individual provider · Type 1 NPI

Mattie Raydon Johnson

Family Nurse Practitioner · Torrington, WY

NPI number 1003537564 Active

Practice location

625 Albany Ave
Torrington, WY 82240-1530

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X44901 (WY)

Family Nurse Practitioner: Definition to come...

18 other providers at this address

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About NPI 1003537564

Mattie Raydon Johnson's National Provider Identifier is 1003537564, issued on Sep 2, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Torrington, WY. The record was last updated on Sep 2, 2022.