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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NANCY MOE JOHNSON, PA

Active

NANCY MOE JOHNSON, PA is a Medical Physician Assistant healthcare provider located in BELOIT, Wisconsin. NPI 1417262528 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · BELOIT, WI

Registration Details

NPI Number
1417262528
Provider Type
Individual
Gender
Female
NPI Issued
Aug 12, 2010 (15.989515801653 yrs)
Last Updated
Nov 16, 2016
Licenses
3203 (CO)
2640-33 (WI)

Practice Information

Address
1905 E HUEBBE PKWY
BELOIT CLINIC
BELOIT, WI, 535111842
Browse WI providers · Browse ZIP 53511
Phone
6083641460
Fax
6083637317
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in BELOIT, WI

Name Credential NPI
VICKI P. SMYTHE PA-C 1073630711
PAULA B RIEBE PA-C 1770882748
JENNIFER GUNDERSON 1366175986
MOLLY JOSEPHINE PIERCE PA-C 1841912722
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.