Johnna Marie Edmunds in Petaluma - Registered Nurse
Johnna Marie Edmunds - NPI 1912199753
Johnna Marie Edmunds is a Registered Nurse in Petaluma, California. Johnna Marie Edmunds practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Johnna Marie Edmunds is 1912199753. The last update date is 2007-08-15.
Johnna Marie Edmunds's current location address is 775 Baywood Dr, Petaluma, California. You can contact this provider via phone number 7077652425. The mailing address for Johnna Marie Edmunds is 775 Baywood Dr, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johnna Marie Edmunds |
|---|---|
| Address | 775 Baywood Dr, Petaluma, California |
| Phone Number | 7077652425 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1912199753 |
|---|---|
| Provider Enumeration Date | 2007-08-15 |
| Last Updated Date | 2007-08-15 |
Provider Mailing Address Detail
| Address | 775 Baywood Dr |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 949545501 |
| Phone Number | 7077652425 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
| Licence No | 204315 |
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Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13725 NP | CA | CA STATE LIC. NO. |
Post Comment/ Review Below
What is the unique identifier code issued to Johnna Marie Edmunds by the Centers for Medicare & Medicaid Services (CMS)?
The Johnna Marie Edmunds has been assigned the NPI (National Provider Identifier) 1912199753. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Johnna Marie Edmunds is physically located?
The Johnna Marie Edmunds is situated at the following address: 775 Baywood Dr, Petaluma, CA 949545501.
What is Johnna Marie Edmunds's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Johnna Marie Edmunds's specialized field of practice is Registered Nurse, and the corresponding taxonomy code that categorizes this area of specialization is 163W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1912199753 to Johnna Marie Edmunds?
The Centers for Medicare & Medicaid Services assigned the 1912199753 to Johnna Marie Edmunds on 2007-08-15.
As of what date was the information pertaining to Johnna Marie Edmunds, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Johnna Marie Edmunds, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-08-15.