NPI

Breanna Johnson

NPI 1760077093

Read from the NPPES registry on October 25, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2021-03-08
Last updated
2026-10-12

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Specialties

Licenses

License AZ
278280

Location

Practice location
7227 E Baseline Rd Ste 126
City
Mesa AZ
Postal code
85209-5006
Phone
(480) 868-9650
Fax
(480) 834-3606

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Nurse Practitioners in Mesa, AZ. 92 with this primary taxonomy in the public file.

Other NPIs in Mesa, AZ. 13,450 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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