IndividualActive
Anthony Johnson, APRN-CNP
NPI 1174034565 · Family Nurse Practitioner · Moore, OK
Provider details
- NPI number
- 1174034565
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN-CNP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 95365 (OK)
Mailing address
905 Sw 38th St
Moore, OK 73160-9409
Registry dates
- Enumerated
- 2017-10-12
- Last updated
- 2017-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.