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

MRS. TATIA FORD JOHNSON, MPAS, PA-C

Active

MRS. TATIA FORD JOHNSON, MPAS, PA-C is a Medical Physician Assistant healthcare provider located in GLENN DALE, Maryland. NPI 1811146178 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · GLENN DALE, MD

Registration Details

NPI Number: 1811146178
Provider Type: Individual
Gender: Female
NPI Issued: Sep 11, 2008 (17.882619286852 yrs)
Last Updated: Oct 14, 2010
Licenses: C0002501 (MD)

M002916L (PA)

Practice Information

Address: 12150 ANNAPOLIS RD

SUITE #300

GLENN DALE, MD, 207699183
Browse MD providers · Browse ZIP 20769
Phone: 3012495384
Fax: 3012496047
Primary Specialty: Medical Physician Assistant
363AM0700X
Additional Specialty: Medical Physician Assistant

Other Medical Physician Assistant Providers in GLENN DALE, MD

Name	Credential	NPI
GLENDA PRUDENCIO	PA-C	1902273584
EMMY L ESTRADA	PA-C	1962971309

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.