Individual provider · Type 1 NPI

Andrea Johnson

Licensed Practical Nurse · Detroit, MI

NPI number 1861866147 Active

Practice location

21203 N Hart Pl
Detroit, MI 48220-2108

Call (248) 688-5065 Map

Mailing address

21203 N. Hart Pl.
Detroit, MI 48220

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703111959 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1861866147

Andrea Johnson's National Provider Identifier is 1861866147, issued on Nov 24, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Detroit, MI. The record was last updated on Nov 24, 2015.