Individual
ASHLEY VICTORIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HIDEAWAY LN, HAMDEN, CT 06518-1742
(254) 466-6569
Mailing address
1 HIDEAWAY LN, HAMDEN, CT 06518-1742
(254) 466-6569
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12631
CT
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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