Farsha Detre Johnson Valid NPI

Individual provider · Gerontology Nurse Practitioner · Cincinnati, OH

NPI

1447913900

Type

Individual (Type 1)

Primary specialty

Gerontology Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LG0600X

License number

APRN.CNP.0030014 (OH)

Sex

Female

Sole proprietor

Yes

Enumerated

2021-10-20

Last updated

2024-03-20