Johnson, Randy W

Johnson, Randy W is an individual health care provider with primary practice located at 736 Broadway N , Fargo ND 58102-4421. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Johnson, Randy W can be contacted via phone (701) 200-0718.

Contact Information

Primary practice address
736 Broadway N Fargo ND 58102-4421
Phone: (701) 200-0718
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R32408 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R32408 North Dakota

Profile Details

NPI number 1659932580
LBN Legal business name Johnson, Randy W
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2019
Last updated Nov 17th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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