person
Mrs. Annie Johnson, PA-C
Medical Physician Assistant in Kuna, Idaho
NPI 1003067984

Annie Johnson is a Medical Physician Assistant based in Kuna, ID and is specialized in Medical. Annie Johnson practices in Kuna, ID and has the professional credentials of PA-C. The NPI Number for Annie Johnson is 1003067984 and holds a License No. PA-777 (Idaho).

The current practice location address for Annie Johnson is 708 E Wythe Creek Ct Ste 103, Kuna, ID and can be reached out via phone at 208-922-5130 and via fax at 208-922-5132.

Location: 708 E Wythe Creek Ct Ste 103, Kuna, ID, 83634-0068
person
Provider Profile Details
NPI Number
1003067984
Provider Name
Annie Johnson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
708 E Wythe Creek Ct Ste 103, Kuna, ID, 83634-0068
Phone Number
208-922-5130
Fax Number
208-922-5132
Provider Enumeration Date
10/09/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
708 E Wythe Creek Ct Ste 103
City
State
Zip
83634-5005
Phone Number
208-922-5130
Fax Number
208-922-5132
person
Provider Business Mailing Address Details
Address
708 E Wythe Creek Ct Ste 103
City
State
Zip
83634-5005
Phone Number
208-922-5130
Fax Number
208-922-5132
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-777 (Idaho)
Definition
Definition to come...
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