Johnson, Vicky C

Johnson, Vicky C is an individual health care provider with primary practice located at 1806 S Osprey Ave , Sarasota FL 34239-3613. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Johnson, Vicky C can be contacted via phone (239) 470-1674.

Contact Information

Primary practice address
1806 S Osprey Ave Sarasota FL 34239-3613
Phone: (239) 470-1674
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 932572 Florida

Profile Details

NPI number 1700870631
LBN Legal business name Johnson, Vicky C
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Mar 24th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700870631 NPPES
Other G9011 BCBS

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