SAMANTHA ANN JOHNSEN
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1215595640- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 400 RENAISSANCE CTR, DETROIT, MI, 482431502
- Phone
- (888) 731-8994
Specialties & Taxonomies
Obstetrics & Gynecology, Gynecology
License: NV #RN71057
Nurse Practitioner
Primary License: NV #386709