Provider Demographics
NPI:1922172501
Name:JOHNSON, ANNE H (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:H
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5528 NW 43RD ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32653-3301
Mailing Address - Country:US
Mailing Address - Phone:352-371-3604
Mailing Address - Fax:352-371-4865
Practice Address - Street 1:5528 NW 43RD ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32653-3301
Practice Address - Country:US
Practice Address - Phone:352-371-3604
Practice Address - Fax:352-371-4865
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP486602208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics