Healthcare Provider Details

I. General information

NPI: 1245538396
Provider Name (Legal Business Name): SARAH WOOD JOHANSON MSN, ACNP-BC, RNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH C WOOD

II. Dates (important events)

Enumeration Date: 03/14/2011
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3674 E MERIDIAN LOOP
WASILLA AK
99654-7272
US

IV. Provider business mailing address

PO BOX 876774
WASILLA AK
99687-6774
US

V. Phone/Fax

Practice location:
  • Phone: 907-373-8100
  • Fax: 907-373-3674
Mailing address:
  • Phone: 907-373-8100
  • Fax: 907-373-3674

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1457
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: