Diane Johnson

NPI 1104144005 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1104144005
Gender Female
Enumeration Date 05/17/2010
Last Updated 05/17/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1225 W STATE ST
OLEAN NY, 14760-2135, US
Phone (716) 372-2106
Fax
Business Location
4134 SILVER SPRINGS RD
SILVER SPRINGS NY, 14550-9795, US
Phone (585) 786-8502
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 121846-1
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According to our database, Diane Johnson NPI is 1104144005, taxonomy code is 164W00000X and license number is 121846-1, license state is located at New York. Diane Johnson physically located at 1225 W State St, Olean NY, 14760-2135. NPI Number Diane Johnson has the Individual type.

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1104144005 NPI number is provided on an as is basis without warranty of any kind. 1104144005 is maintained by the National Plan & Provider Enumeration System. The contents of Diane Johnson are for informational purposes only.