Search › Wisconsin › 367500000X
Petagaye Johnson, CRNA
NPI 1205223898 · on the registry since 2015
Practice
- Address
- 5150 E Cheryl Pkwy Unit 301
Fitchburg, WI 53711 - Phone
- (786) 278-2008
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-04-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin