Individual provider · Type 1 NPI
Staci Marie Johnson, R.N
Gastroenterology Registered Nurse · Sacramento, CA
NPI number
1356589907
Active
Practice location
2521 Stockton Blvd
Sacramento, CA 95817-2207
Fax (916) 734-4098
Mailing address
2516 Stockton Blvd # 238
Sacramento, CA 95817-2208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gastroenterology Registered Nurse Primary | 163WG0100X | RN483387 (CA) |
Gastroenterology Registered Nurse: Definition to come...
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About NPI 1356589907
Staci Marie Johnson, R.N's National Provider Identifier is 1356589907, issued on Feb 4, 2009. The primary taxonomy on file is Gastroenterology Registered Nurse (163WG0100X), and the practice location is in Sacramento, CA. The record was last updated on Feb 4, 2009.