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Ms. Wanda Harriette Johnson, NP
Family Nurse Practitioner in Oakland, California
NPI 1043263452

Wanda Harriette Johnson is a Family Nurse Practitioner based in Oakland, CA and is specialized in Family. Wanda Harriette Johnson practices in Oakland, CA and has the professional credentials of NP. The NPI Number for Wanda Harriette Johnson is 1043263452 and holds a License No. 13709 (California).

The current practice location address for Wanda Harriette Johnson is 10700 Macarthur Blvd, Oakland, CA and can be reached out via phone at 510-563-4300.

Location: 10700 Macarthur Blvd, Oakland, CA, 94605-5298
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043263452
Provider Name
Wanda Harriette Johnson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
10700 Macarthur Blvd, Oakland, CA, 94605-5298
Phone Number
510-563-4300
Fax Number
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1629293956 05 CA
1992838437 05 CA
institution
Provider Business Practice Location Address Details
Address
10700 Macarthur Blvd
City
Oakland
State
California
Zip
94605-5260
Phone Number
510-563-4300
Fax Number
person
Provider Business Mailing Address Details
Address
10700 Macarthur Blvd
City
Oakland
State
California
Zip
94605-5260
Phone Number
510-563-4300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
13709 (California)
Definition
Definition to come...
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