Provider Demographics
NPI:1942069505
Name:JOHNSON, ARIEL Z
Entity Type:Individual
Prefix:MISS
First Name:ARIEL
Middle Name:Z
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3777 ROBB AVE APT 56
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-4536
Mailing Address - Country:US
Mailing Address - Phone:513-551-7515
Mailing Address - Fax:
Practice Address - Street 1:3777 ROBB AVE APT 56
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-4536
Practice Address - Country:US
Practice Address - Phone:513-551-7515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide