Individual provider · Type 1 NPI
Demetria Johnson
Administrator Registered Nurse · Glen Allen, VA
NPI number
1659150456
Active
Practice location
11206 Abbots Cross Ln
Glen Allen, VA 23059-1106
Mailing address
4990 Sadler Pl Unit 2621
Glen Allen, VA 23058-1225
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 0001264629 (VA) |
Administrator Registered Nurse: Definition to come...
Other administrator registered nurse providers in Glen Allen
About NPI 1659150456
Demetria Johnson's National Provider Identifier is 1659150456, issued on Sep 22, 2023. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Glen Allen, VA. The record was last updated on Sep 22, 2023.