Diantha Lucretia Johnson, NURSE PRACTITIONER

NPI #1942017561 in Miramar, Florida

Provider Information

NPI Number
1942017561
Entity Type
Individual
Name
Diantha Lucretia Johnson, NURSE PRACTITIONER
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
NURSE PRACTITIONER
Enumeration Date
Dec 17, 2024
Last Updated
Dec 17, 2024

Practice Location

Address
8140 SW 29TH ST
State
Florida
ZIP Code
33025-6712
Phone
(954) 854-5220

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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