Individual provider · Type 1 NPI
Cynthia Kaye Phillips-Johnson, RN, AGNP
Adult Health Nurse Practitioner · Wasilla, AK
NPI number
1952407090
Active
Practice location
3765 E Blue Lupine Dr Ste D
Wasilla, AK 99654-8417
Fax (907) 707-1675
Mailing address
1399 S Tim Ave
Wasilla, AK 99623-9338
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 141780 (AK) |
| Massage Therapist | 225700000X | MA00017451 (WA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 224414 (AK) |
Adult Health Nurse Practitioner: Definition to come...
3 other providers at this address
Other adult health nurse practitioner providers in Wasilla
About NPI 1952407090
Cynthia Kaye Phillips-Johnson, RN, AGNP's National Provider Identifier is 1952407090, issued on Sep 16, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Wasilla, AK. The record was last updated on Jun 20, 2024.