Miss Betty Ann Johansen
Nurse Practitioner
3304 Colorado Blvd Ste 101
Denton
, Texas 76210-6872
Miss Betty Ann Johansen
Nurse Practitioner
3304 Colorado Blvd Ste 101
Denton
, Texas 76210-6872
(940) 381-2613
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Miss Betty Ann Johansen
- 3304 Colorado Blvd Ste 101
- Denton, TX
- Zip : 76210-6872
- Fax : (940) 381-2613
- Phone : (940) 566-2358
Second Address
- Miss Betty Ann Johansen
- 3304 Colorado Blvd Ste 101
- Denton, TX
- Zip : 76210-6872
- Fax : (940) 381-2613
- Phone : (940) 566-2358
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Is Miss Betty Ann Johansen a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 229039 | TX |
National Provider Identifier
| NPI | 1003938606 |
|---|---|
| Provider Name | Miss Betty Ann Johansen |
| First Address | Denton, TX 76210-6872 |
| Second Address | Denton, TX 76210-6872 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/04/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| S71169 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.