Individual
MS. CHANAYA R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1801 N TRYON ST, SUITE 305-B, CHARLOTTE, NC 28206-2704
(704) 948-5654
(704) 948-5658
Mailing address
1801 N TRYON ST, SUITE 305-B, CHARLOTTE, NC 28206-2704
(704) 948-5654
(704) 948-5658
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1445
NY
376K00000X
Nurse's Aide
1445
NY
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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