Individual provider · Type 1 NPI

Aretha Diane Johnson, FNP

Family Nurse Practitioner · Peoria, IL

NPI number 1457798332 Active

Practice location

2321 N Wisconsin Avenue
Peoria, IL 61603

Call (309) 680-7600 Map

Fax (309) 680-7637

Mailing address

1701 W Garden Street
Peoria, IL 61605

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209010440 (IL)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1457798332

Aretha Diane Johnson, FNP's National Provider Identifier is 1457798332, issued on May 31, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Peoria, IL. The record was last updated on Jan 23, 2014.