IndividualActive
Brian Johnson, QMA
NPI 1255564522 · Technician · Fort Wayne, IN
Provider details
- NPI number
- 1255564522
- Entity type
- Individual
- Primary specialty
- TechnicianNursing Service Related Providers
- Credential
- QMA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
909 E State Blvd
Fort Wayne, IN 46805-3404
Phone: (260) 481-2700
Fax: (260) 481-2709
Approximate (ZIP-level) locationGet directions
Mailing address
909 E State Blvd
Fort Wayne, IN 46805-3404
Registry dates
- Enumerated
- 2009-09-02
- Last updated
- 2009-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.