Provider Demographics
NPI:1831586452
Name:JOHNSON, ALEMZEWED
Entity type:Individual
Prefix:MRS
First Name:ALEMZEWED
Middle Name:
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 1:1661 GERANIUM DR
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-7183
Mailing Address - Country:US
Mailing Address - Phone:614-218-7208
Mailing Address - Fax:614-588-0729
Practice Address - Street 1:1661 GERANIUM DR
Practice Address - Street 2:
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035-7183
Practice Address - Country:US
Practice Address - Phone:614-218-7208
Practice Address - Fax:614-588-0729
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-21
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH158627164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse