Individual provider · Type 1 NPI
Maryann Johnson, N.P.
Adult Health Nurse Practitioner · Manassas, VA
NPI number
1376560193
Active
Practice location
10696 B Crestwood Drive, Dr. Grace J. Stonerock
Manassas, VA 20109-4411
Fax (703) 369-1842
Mailing address
10254 Wallwood Drive
Manassas, VA 20111-4301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 0024085871 (VA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1376560193
Maryann Johnson, N.P.'s National Provider Identifier is 1376560193, issued on Jul 16, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Manassas, VA. The record was last updated on Jul 8, 2007.