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Nicole Johnson

NPI 1346611332 · on the registry since 2015 · sole proprietor

Practice

Address
4708 Van Buren Ave
Cheyenne, WY 82009
Phone
(307) 214-3888

Registry record

Primary taxonomy
251C00000X
251C00000X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-10-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming