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Peggy Lee Johnson IV
School Registered Nurse in Glendale, Arizona
NPI 1912036492

Peggy Lee Johnson IV is a School Registered Nurse based in Glendale, AZ and is specialized in School. Peggy Lee Johnson IV practices in Glendale, AZ. The NPI Number for Peggy Lee Johnson IV is 1912036492 and holds a License No. RN075202 (Arizona).

The current practice location address for Peggy Lee Johnson IV is 7301 N 58Th Ave, Glendale, AZ and can be reached out via phone at 623-842-8148.

Location: 7301 N 58Th Ave, Glendale, AZ, 85301-1893
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912036492
Provider Name
Peggy Lee Johnson IV
Credential
Provider Entity Type
Individual
Gender
Female
Address
7301 N 58Th Ave, Glendale, AZ, 85301-1893
Phone Number
623-842-8148
Fax Number
Provider Enumeration Date
03/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
824070 05 AZ
institution
Provider Business Practice Location Address Details
Address
7301 N 58Th Ave
City
Glendale
State
Arizona
Zip
85301-1893
Phone Number
623-842-8148
Fax Number
person
Provider Business Mailing Address Details
Address
7301 N 58Th Ave
City
Glendale
State
Arizona
Zip
85301-1893
Phone Number
623-842-8148
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
School
Taxonomy
163WS0200X
License No.
RN075202 (Arizona)
Definition
Definition to come...
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