Individual provider · Type 1 NPI
Marie Goretti Johnson
General Practice Registered Nurse · St. Augustine, FL
NPI number
1942764170
Active
Practice location
235 Trumpco Dr
St. Augustine, FL 32092-1879
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 9442872 (FL) |
General Practice Registered Nurse: Definition to come...
Other general practice registered nurse providers in St. Augustine
About NPI 1942764170
Marie Goretti Johnson's National Provider Identifier is 1942764170, issued on Jan 22, 2019. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in St. Augustine, FL. The record was last updated on Jan 22, 2019.