Search › Michigan › 363L00000X
Samantha Johnsen
NPI 1215595640 · on the registry since 2019
Practice
- Address
- 400 Renaissance Ctr
Detroit, MI 48243 - Phone
- (888) 731-8994
- Organisation at this address
- P-Cor, Llc
Kas Mi, Llc
Aldad Medical Pc
Faith Walk, Inc.
Family Aide Llc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 275
Additional practice sites
- 7160 Smoke Ranch Rd, Las Vegas, NV
- 1433 N Water St, Milwaukee, WI
- 400 S 4th St, Las Vegas, NV
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 207VG0400X
- Licence states on file
- NV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-20
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 Michigan