Theresa Johnson, LPN is a
Licensed Practical Nurse based in Ishpeming, Michigan. Theresa Johnson is licensed to practice in Michigan (license number 4703095306) and her current practice location is
1305 N 2nd St, Ishpeming, Michigan. She can be reached at her office (for appointments etc.) via phone at
(906) 361-6165.
NPI number for Theresa Johnson is 1376045997 and her current mailing address is 1305 N 2nd St, Ishpeming, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376045997.
Provider's Profile
| Full Name | Theresa Johnson |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 1305 N 2nd St, Ishpeming, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376045997
- Provider Enumeration Date: 02/28/2018
- Last Update Date: 02/28/2018
Medical Identifiers
Medical identifiers for Theresa Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376045997 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 4703095306 (Michigan) | 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. Theresa Johnson 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 Address | Practice Location Address |
Theresa Johnson, LPN 1305 N 2nd St, Ishpeming, MI 49849-1147 Ph: (906) 361-6165 | Theresa Johnson, LPN 1305 N 2nd St, Ishpeming, MI 49849-1147 Ph: (906) 361-6165 |
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