Prof Johnna Marie Edmunds, FNP - Registered Nurse in Petaluma, CA

Prof Johnna Marie Edmunds, FNP is a Registered Nurse based in Petaluma, California. Prof Johnna Marie Edmunds is licensed to practice in California (license number 204315) and her current practice location is 775 Baywood Dr, Petaluma, California. She can be reached at her office (for appointments etc.) via phone at (707) 765-2425.

NPI number for Prof Johnna Marie Edmunds is 1912199753 and her current mailing address is 3435 Sonoma Mountain Rd, Petaluma, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912199753.

Contact Information

Prof Johnna Marie Edmunds, FNP
775 Baywood Dr,
Petaluma, CA 94954-5501
(707) 765-2425
Not Available

Map and Direction




Provider's Profile

Full NameProf Johnna Marie Edmunds
GenderFemale
SpecialityRegistered Nurse
Location775 Baywood Dr, Petaluma, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912199753
  • Provider Enumeration Date: 08/15/2007
  • Last Update Date: 08/15/2007

Medical Identifiers

Medical identifiers for Prof Johnna Marie Edmunds such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912199753NPI-NPPES
13725 NPOtherCACA STATE LIC. NO.

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 204315 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Prof Johnna Marie Edmunds is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Prof Johnna Marie Edmunds, FNP
3435 Sonoma Mountain Rd,
Petaluma, CA 94954-9201

Ph: (707) 664-2041
Prof Johnna Marie Edmunds, FNP
775 Baywood Dr,
Petaluma, CA 94954-5501

Ph: (707) 765-2425

Reviews and Comments


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