MEDICARE: MARSHA JOHNSON-HARDING ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	R0047947	OK

General Provider Information

NPI Number	:	1245236520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARSHA JOHNSON-HARDING ARNP

Provider Business Mailing Address
First Line	:	6613 N MERIDIAN AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-1423
Country	:	US
Telephone Number	:	405-603-8450
Fax Number	:	405-603-8455

Provider Business Practice Location Address
First Line	:	1000 N LEE AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73102-1036
Country	:	US
Telephone Number	:	405-272-4955
Fax Number	:	405-603-8450

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	07/08/2007

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