Most Relevant Information
Provider Data
| NPI Number: | 1003462052 |
| Provider Name: | TIFFANY MARIE JOHNSON CNA |
| Entity Type: | Individual |
| Taxonomy Code: | 376K00000X |
| Specialty: | Nurse's Aide |
| License Number: | NUAA14825 |
Most Important Dates
| Enumeration Date: | 08/15/2019 |
| Last Updated: | 08/15/2019 |
Provider Practice Location
1209 SEWARD AVE.
SITKA
AK
99835
Practice Location Phone/Fax
| Phone: | 9077387646 |
| Fax: |
Provider Mailing Location
1209 SEWARD AVE.
SITKA
AK
99835
Provider Mailing Phone/Fax
| Phone: | 9077387646 |
| Fax: |