Individual provider · Type 1 NPI
Trazell L. Johnson, NP-C
Gerontology Nurse Practitioner · Phoenix, AZ
NPI number
1659516011
Active
Practice location
1717 E Bell Rd Ste 8
Phoenix, AZ 85022-6200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | RN214425 (GA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | AG08190002 (AZ) |
| Primary Care Nurse Practitioner | 363LP2300X | 251456 (AZ) |
Gerontology Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1659516011
Trazell L. Johnson, NP-C's National Provider Identifier is 1659516011, issued on Dec 12, 2008. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 3, 2026.