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Mattie Raydon Johnson
Family Nurse Practitioner in Torrington, Wyoming
NPI 1003537564

Mattie Raydon Johnson is a Family Nurse Practitioner based in Torrington, WY and is specialized in Family. Mattie Raydon Johnson practices in Torrington, WY. The NPI Number for Mattie Raydon Johnson is 1003537564 and holds a License No. 44901 (Wyoming).

The current practice location address for Mattie Raydon Johnson is 625 Albany Ave, Torrington, WY and can be reached out via phone at 307-532-2107.

Location: 625 Albany Ave, Torrington, WY, 82240-1530
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003537564
Provider Name
Mattie Raydon Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
625 Albany Ave, Torrington, WY, 82240-1530
Phone Number
307-532-2107
Fax Number
Provider Enumeration Date
09/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
625 Albany Ave
City
Torrington
State
Wyoming
Zip
82240-1530
Phone Number
307-532-2107
Fax Number
person
Provider Business Mailing Address Details
Address
625 Albany Ave
City
Torrington
State
Wyoming
Zip
82240-1530
Phone Number
307-532-2107
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
44901 (Wyoming)
Definition
Definition to come...
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