MEDICARE: MARGIE LEE JOHNSON

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	163WH0200X	Home Health Registered Nurse	RN134939	AZ

General Provider Information

NPI Number	:	1396673869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGIE LEE JOHNSON

Provider Business Mailing Address
First Line	:	7547 S DUNBAR CT
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85747-5607
Country	:	US
Telephone Number	:	620-488-3132
Fax Number	:

Provider Business Practice Location Address
First Line	:	7547 S DUNBAR CT
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85747-5607
Country	:	US
Telephone Number	:	520-488-3132
Fax Number	:

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

Provider Enumeration Date	:	05/13/2026
Last Update Date	:	05/13/2026

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