Most Relevant Information
Provider Data
| NPI Number: | 1003074873 |
| Provider Name: | KRISTIN R JOHNSON CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN311320 |
Most Important Dates
| Enumeration Date: | 05/29/2008 |
| Last Updated: | 07/02/2008 |
Provider Practice Location
9500 EUCLID AVE
CLEVELAND
OH
441950001
Practice Location Phone/Fax
| Phone: | 8002232273 |
| Fax: |
Provider Mailing Location
6000 W CREEK RD
SUITE 10
INDEPENDENCE
OH
441312139
Provider Mailing Phone/Fax
| Phone: | 8002232273 |
| Fax: |