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NPI Code Detail

MEDICARE: DONNA GUYOT JOHNSON

MEDICARE:   DONNA GUYOT 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
1106H00000XMarriage & Family Therapist2319WA
2106H00000XMarriage & Family Therapist39940CA
3163W00000XRegistered Nurse162924WA
4363LA2200XAdult Health Nurse Practitioner329150CA

General Provider Information

NPI Number : 1871649723
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA GUYOT JOHNSON
Provider Business Mailing Address
First Line : 15301 TYLER FOOTE RD
Second Line :
City : NEVADA CITY
State : CA
Zip : 95959-9318
Country : US
Telephone Number : 530-272-7856
Fax Number : 530-272-7856
Provider Business Practice Location Address
First Line : 15301 TYLER FOOTE RD STE 115
Second Line :
City : NEVADA CITY
State : CA
Zip : 95959-9318
Country : US
Telephone Number : 530-292-3478
Fax Number : 530-292-4296
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2007
Last Update Date : 01/24/2018

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Directions to “ DONNA GUYOT JOHNSON ” Practice Location

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